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May 4, 1940

Diagnosis and Management of Diseases of the Biliary Tract

JAMA. 1940;114(18):1831. doi:10.1001/jama.1940.02810180107032

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This book is based on the experiences of the authors and their co-workers in the clinic for the study of diseases of the liver and biliary tract of the Departments of Medicine and Surgery, New York Post-Graduate Medical School and Hospital, Columbia University. It is clearly written. The physiology and the pathologic physiology of the biliary tract are amply discussed. The technic of duodenal drainage, the equipment and the microscopic examination of the biliary sediment, as described by Lyon, constitute one of the most important parts of their diagnostic study. While the authors lay special emphasis on this procedure, there are many clinicians who may disagree with them on the significance of their observations. They go at length into the significance of the bacteriologic study of duodenal drainage bile and think that this might have some correlation to infections of the biliary system. The medical treatment of cholecystitis is well

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