Cholecystokinin Cholangiography

Joel B. Freeman, MD
JAMA. 1974;229(7):764. doi:10.1001/jama.1974.03230450014006.
Text Size: A A A
Published online

To the Editor.—  We congratulate Dr. Dunn and his colleagues on their excellent article (228:997, 1974) and wish to make the following comments.Patients with recurrent biliary-like pain and repeatedly normal oral cholecystograms offer difficult clinical problems. They frequently undergo prolonged and expensive investigations and usually are labeled with the diagnosis of anxiety neurosis or the irritable bowel syndrome. Cholecystectomy is performed because of repeated attacks that interfere with the patient's life-style, yet one third of these patients who undergo operations will not be relieved of their symptoms.1 Therefore, there is a real need for a more sophisticated method of studying the patient with recurrent right upper quadrant pain and normal oral cholecystograms.Cholecystokinin cholangiography, in the experience of many authors, has successfully determined which patients should and should not have surgery,2-5 and, in our experience, has reduced the number of patients who return with recurrent pain to practically


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




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.