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February 27, 1937

STATUS OF CHOLECYSTOGASTROSTOMY IN OBSTRUCTIVE JAUNDICEDUE TO CARCINOMA OF THE HEAD OF THE PANCREAS

JAMA. 1937;108(9):707-709. doi:10.1001/jama.1937.02780090019005
Abstract

In order to evaluate the results of biliary intestinal anastomosis, particularly in cases of carcinoma of the head of the pancreas, a study was made of thirty-four surgically treated patients who were in the ward services during the ten years between 1926 and 1935.

These patients were operated on because of jaundice. Their ages varied between 24 and 70 years, the average age being 50. The incidence of male and female patients was as 6 to 1; i. e., twenty-nine men and five women. The history was usually one of slowly increasing, painless, obstructive jaundice with pruritus, weakness and loss in weight. The preoperative diagnosis was carcinoma of the head of the pancreas or carcinoma of the common bile duct below the cystic duct or carcinoma of the ampulla of Vater.

DIAGNOSIS AT OPERATION  In thirty patients the diagnosis at laparotomy was carcinoma of the head of the pancreas. In

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