The possibility of using surgical decompression of the ductal system of the liver for relief of chronic jaundice resulting from subacute and acute hepatitis, usually due to a virus infection, first suggested itself to us many years ago when we were doing surgery in cases of congenital atresia of the bile ducts.1 We found that atresia, or absence, of the excretory bile ducts in these newborn infants produced not only jaundice but also a marked increase of the connective tissue in the liver, causing cirrhosis. This we ascribed to the irritation secondary to biliary stasis. Even in extremely pronounced cases of jaundice where exploration revealed a large liver, deeply pigmented, with an increased amount of connective tissue, we were able to establish good biliary drainage within a few days if the intrahepatic ductal system was patent. A biliary fistula was formed by placing a catheter into the hilus of
Strauss AA, Strauss SF, Schwartz AH, Tannenbaum WJ, Kram DD, Masur WW. LIVER DECOMPRESSION BY COMMON BILE DUCT DRAINAGE IN SUBACUTE AND CHRONIC JAUNDICEREPORT OF SIXTY CASES WITH HEPATITIS OR CONCOMITANT BILIARY DUCT INFECTION AS CAUSE. JAMA. 1955;159(8):739–743. doi:10.1001/jama.1955.02960250001001
Customize your JAMA Network experience by selecting one or more topics from the list below.