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Article
September 4, 1909

RECONSTRUCTION OF THE BILE DUCTS

JAMA. 1909;LIII(10):803-804. doi:10.1001/jama.1909.02550100049007

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Abstract

Dr. Sullivan's article in this issue giving an account of the ingenious operation which he has contrived and of which he has experimentally demonstrated the feasibility, seems worthy of some special notice. The utilization of the peristaltic tug in the intestines to remove by that route the foreign body, the rubber tube used in restoring the bile passage, is a novelty. Should the further observations on the experimental animals prove that it is not followed by any serious symptoms or complications it may be recommended for practical use in suitable cases in the human subject. The dangers as they appear to us would be in properly securing against leakage in the peritoneal investment, or the too premature expulsion of the rubber tube before the tissues of the new channel have become properly adapted to their new function. These risks, however, seem to be negligible ones in the dog and, so

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