While the accepted tests of hepatic function in obstructive jaundice such as the dye retention test and the van den Bergh test yield valuable information concerning the clinical condition of the patient, they do not afford an accurate indication of the amount of temporary or permanent hepatic injury caused by bile stasis and infection. Mann and Bollman1 in their recent survey of the subject have made this point clear. It would seem that no short-cut laboratory methods can yet replace careful gross and microscopic examination of all material obtained at operation or at necropsy, as a basis for the treatment of future cases.
There is a tendency for the surgeon to neglect the rather unknown intrahepatic portion of the biliary tract in considering the effects of the local lesion, even though a thorough knowledge of its condition might modify his technic or alter his prognosis. This, in itself, is
JUDD ES, COUNSELLER VS. THE EFFECTS OF OBSTRUCTIVE LESIONS OF THE COMMON DUCT OF THE LIVER. JAMA. 1927;89(21):1751–1756. doi:10.1001/jama.1927.02690210017006
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: