Louis H. Block, M.D.; Theodore L. Orloff, M.D.
JAMA. 1955;158(11):920-921. doi:10.1001/jama.1955.02960110026007.
Text Size: A A A
Published online

Among the methods recommended to aid in the decision of whether or not to open the common bile duct is the operative cholangiogram. An increasing number of surgeons have adopted operative cholangiography as a routine in all cholecystectomies. In the past several years since we have been performing operative cholangiography, using the cystic duct, we have felt that it has obviated the necessity of opening many common ducts as well as induced us to open others that would not otherwise have been explored. If the procedure accomplished nothing other than to relieve the surgeon of the necessity for further search for calculi after he has recovered enough to explain all defects visualized on the x-ray film, it would be well worth the time spent in performing the study.

Of the various techniques advocated for the performance of the cholangiogram, we do not care for the direct puncture of the common


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.