ROENTGEN OENTGEN VISUALIZATION of the common bile duct can be useful in evaluating symptoms of biliary tract disease after cholecystectomy.
This report is based on the study of 139 patients who had been subjected to cholecystectomy and subsequently were examined by means of intravenous cholangiography. Of these, 111 had been virtually asymptomatic following operation and appeared to be in good health. The remaining 28 patients had significant symptoms or signs of persistent or recurrent disease such as intermittent abdominal pain, nausea, vomiting, jaundice, dark urine, and clay-colored stools. Four patients without a history of jaundice but with an elevated serum bilirubin were included in this group. Patients who had a common duct exploration at the time of cholecystectomy were excluded from this study. It was felt that exploration and T-tube drainage might alter the duct.
Prior to the examination fluids were withheld. Meglumine iodipamide (Cholografin *) 20 cc was then
EDMUNDS R, RUCKER C, FINBY N. Intravenous CholangiographyUsed in Postcholecystectomy Biliary Tract Disease. Arch Surg. 1965;90(1):73-75. doi:10.1001/archsurg.1965.01320070075016