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Percutaneous Transhepatic Cholangiography with the "Skinny" Needle: A Rapid, Simple, and Accurate Method in the Diagnosis of Cholestasis

RAUL PEREIRAS Jr., M.D.; ROBERTO O. CHIPRUT, M.D.; RICHARD A. GREENWALD, M.D.; and EUGENE R. SCHIFF, M.D., F.A.C.P.
[+] Article and Author Information

▸Requests for reprints should be addressed to Eugene R. Schiff, M.D.; Hepatology Section, Veterans Administration Hospital, 1201 N.W. 16th St.; Miami, FL 33125.


Miami, Florida


Ann Intern Med. 1977;86(5):562-568. doi:10.7326/0003-4819-86-5-562
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One hundred thirty-one cases of cholestasis were evaluated by "skinny" needle percutaneous transhepatic cholangiography. The biliary tree was seen in 129 patients (98.5%). When the biliary tree was dilated, a success rate of 100% was obtained. In the 45 patients with nondilated ducts, visualization was achieved in 95.6%. There was no mortality, early operation, or transfusion requirement associated with the procedure. This form of cholangiography is a simple, reliable, and extremely high-yield technique for evaluating patients with cholestasis.

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