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June 1958

Intrahepatic Cholangiojejunostomy for Biliary Obstruction: Long-Term Follow-Up Study of a Case

Author Affiliations

From the Department of Surgery, Indiana University Medical Center.

AMA Arch Surg. 1958;76(6):988-991. doi:10.1001/archsurg.1958.01280240146024

In 1948 Longmire and Sanford1 proposed a method of treating biliary obstruction by intrahepatic cholangiojejunostomy following partial resection of the left lobe of the liver. In 1956 Longmire and Lippman2 reviewed their own experiences and those of others reported in the literature. This survey included a total of 28 patients, 19 of whom were treated for benign biliary obstruction and 9 for malignant obstruction. Since the development of this procedure, nearly 10 years ago, few long-term follow-up studies have been recorded in the literature. Most of the patients so treated had been followed for only a few months after operation at the time of the report. The longest follow-up was for a period of 5 years 11 months. This patient ultimately died of recurrent episodes of cholangitis. The present report concerns a patient treated for benign postoperative biliary obstruction approximately six and a half years ago. This case

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