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Article
September 1, 1923

CONDITION OF THE COMMON DUCT AFTER CHOLECYSTECTOMY

Author Affiliations

ROCHESTER, MINN.

JAMA. 1923;81(9):704-709. doi:10.1001/jama.1923.02650090002002
Abstract

As a result of the development of the surgery of the biliary tract to its present state, many problems are presenting themselves which require serious consideration. The first conception of disease of the biliary tract was associated almost entirely with gallstones, but it was soon realized that calculi were only a part of the trouble and that, in most instances, the infection is in the tissues. At first the infection was believed to be only in the walls of the gallbladder. Now it is realized that it must often Be regarded as a pan-infection, since it extends to the hepatic and pancreatic tissues. During the quiescent state of the infection it is probably present in the gallbladder in a low state of virulence, while during the active state, when the infection is manifested clinically, it not only becomes more virulent in the gallbladder, but is distributed to the other parts

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