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June 1956

Effect of of Tubes on the Healing of Anastomoses of the Common Bile DuctAn Experimental Study

Author Affiliations

San Francisco
From the Surgical Research Laboratories of the University of California School of Medicine.

AMA Arch Surg. 1956;72(6):908-914. doi:10.1001/archsurg.1956.01270240020004

Various types of tubes have been used in conjunction with the surgical repair of the biliary-duct system. However, few experimental data are available regarding the effects of these tubes on a recently constructed anastomosis of the common bile duct, and commonly recommended clinical practices have been at considerable variance with the conclusions drawn from the results of the few experimental investigations in this field. Lary and Scheibe1 have shown that the incidence of strictures at the site of ligation of the common bile duct of dogs is increased whenever a rubber tube has been placed in the duct above the ligature site. Harridge2 demonstrated an increase in the thickness of, and the amount of fibrosis in, the wall of the common bile duct whenever there was contact with a rubber tube for long periods of time. Conversely, Cattell,3 Walters,4 Cole,5 and many others have recommended

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