The application of physiologic principles in the management of patients with disease of the gallbladder has affected the preoperative and postoperative care, mortality and general end results. During the past ten years these advances have caused us to change or to augment, from time to time, our existing management of surgical patients with disease of the biliary tract.
PREOPERATIVE AND POSTOPERATIVE CARE OF THE POOR RISK PATIENT
While patients with simple uncomplicated disease of the gallbladder without ductal or hepatic involvement may require but little preparation for surgery, those with long-standing disease of the gallbladder, jaundice or a history of jaundice or recurrent infection or obstruction of the biliary tract or liver will require time for surgical preparation. Tests of hepatic function, such as the test with hippuric acid,1 the rose bengal2 or the galactose tolerance test,3 should be carried out repeatedly
GOLDMAN L, BELL HG. SURGICAL MANAGEMENT OF DISEASE OF THE GALLBLADDER: AS CORRELATED WITH NEWER PHYSIOLOGIC CONCEPTS. JAMA. 1941;117(19):1582–1585. doi:10.1001/jama.1941.02820450006002
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