[Skip to Navigation]
June 29, 1912


Author Affiliations


JAMA. 1912;LVIII(26):2026-2029. doi:10.1001/jama.1912.04260060379009

In spite of the fact that for many years the diseases which the biliary tract is heir to have been successfully attacked and conquered, the surgical world is still woefully handicapped by the need of a simple, safe method of transmitting bile from the liver to the duodenum in the absence of the gall-bladder and common duct. The high mortality attending cases in which the common duct has been partially or totally destroyed is a sad commentary on our helplessness, which is due largely to the lack of an efficient means of dealing with the situation. A casual review of the cases reported in the current literature of the last year impresses one forcibly with the seriousness of any pathologic process which destroys the common duct.

The purpose of this paper is to present again a method for the construction of an intra-abdominal sinus for biliary drainage, in the hope