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Double-Dose Drip-Infusion Cholangiography: Title and subTitle BreakAn Analysis of 107 Consecutive Cases FREE

Robert A. Bornhurst, MD; E. Robert Heitzman, MD; John G. McAfee, MD
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JAMA. 1968;206(7):1489-1494. doi:10.1001/jama.1968.03150070027004
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In routine, single-injection, intravenous cholangiography, incomplete or faint visualization of the biliary system is common. To overcome this deficiency, a drip infusion of a larger volume of iodipamide meglumine and tomography have been used. In a series of 107 cases, this method produced no instances of nonvisualization in patients with serum bilirubin levels below 3 mg/100 ml. As a rule, the duct system was densely opacified. Consequently, stones in the common duct could be directly seen as radiolucencies. In a series of 32 patients, correlation of roentgenographic interpretation and surgical findings was excellent. Diagnosis of obstructions within the common duct, therefore, did not have to be based on indirect signs as in the past. Reactions to the larger volume of contrast medium were minimal.

REFERENCES

Wise, R.E.:  Current Concepts of Intravenous Cholangiography , Radiol Clin N Amer 4:521-523 ( (Dec) ) 1966;.
Fisher, H.W.:  The Excretion of Iodipamide: Relation of Bile and Urine Outputs to Dose , Radiology 84:483-491 ( (March) ) 1965;.
Darnborough, A., and Geffen, N.:  Drip-Infusion Cholangiography , Brit J Radiol 39:827-832 ( (Nov) ) 1966;.
Feldman. M.I., and Keohane, M.:  Slow-Infusion Intravenous Cholangiography , Radiology 87:355-356 ( (Aug) ) 1966;.
Wax, R.E., and Crummy, A.B.:  Drip-Infusion Cholangiography , Radiology 87:354 ( (Aug) ) 1966;.
McNulty, J.G.:  Drip-Infusion Cholecystocholangiography: Simultaneous Visualization of the Gall Bladder and Bile Ducts , Radiology 90:570-575 ( (March) ) 1968;.
Fog, R.E., Jr.:  Slow-Infusion Compared With Direct-Injection Cholangiography: Application of Zonography , Radiology 90:576-578 ( (March) ) 1968;.
Johnson, H.C.; McLaren, J.R.; and Weens, H.S.:  Intravenous Cholangiography in the Differential Diagnosis of Acute Cholecystitis , Radiology 74:790-797 ( (May) ) 1960;.
Wise, R.E.: Intravenous Cholangiography , Springfield, Ill: Charles C Thomas, Publisher, 1962;.
Harrington, O.B., et al:  Intravenous Cholangiography in Acute Cholecystitis: Use in Differential Diagnosis , Arch Surg 88:585-589 ( (April) ) 1964;.
Lasser, E.C.:  The Pharmacodynamics of Biliary Contrast Media , Radiol Clin N Amer 4:511-520 ( (Dec) ) 1966;.
Lindgren, P.; Nordenstam, H.; and Saltzman, G.F.:  Effects of Iodipamide on the Kidneys , Acta Radiol 4:129-138 ( (March) ) 1966;.
Peters, G.A.; Hodgson, J.R.; and Donovan, R.J.:  The Effect of Premedication With Chlorpheniramine on Reactions to Iodipamide Methylglucamine , J Allerg 38:74-83 ( (Aug) ) 1966;.
DeNosaquo, N.:  Reactions to Contrast Media , Radiology 91:92-95 ( (July) ) 1968;.
Craft, I.L., and Swales, J.D.:  Renal Failure After Cholangiography , Brit Med J 2:736-738 ( (June) ) 1967;.

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Wise, R.E.:  Current Concepts of Intravenous Cholangiography , Radiol Clin N Amer 4:521-523 ( (Dec) ) 1966;.
Fisher, H.W.:  The Excretion of Iodipamide: Relation of Bile and Urine Outputs to Dose , Radiology 84:483-491 ( (March) ) 1965;.
Darnborough, A., and Geffen, N.:  Drip-Infusion Cholangiography , Brit J Radiol 39:827-832 ( (Nov) ) 1966;.
Feldman. M.I., and Keohane, M.:  Slow-Infusion Intravenous Cholangiography , Radiology 87:355-356 ( (Aug) ) 1966;.
Wax, R.E., and Crummy, A.B.:  Drip-Infusion Cholangiography , Radiology 87:354 ( (Aug) ) 1966;.
McNulty, J.G.:  Drip-Infusion Cholecystocholangiography: Simultaneous Visualization of the Gall Bladder and Bile Ducts , Radiology 90:570-575 ( (March) ) 1968;.
Fog, R.E., Jr.:  Slow-Infusion Compared With Direct-Injection Cholangiography: Application of Zonography , Radiology 90:576-578 ( (March) ) 1968;.
Johnson, H.C.; McLaren, J.R.; and Weens, H.S.:  Intravenous Cholangiography in the Differential Diagnosis of Acute Cholecystitis , Radiology 74:790-797 ( (May) ) 1960;.
Wise, R.E.: Intravenous Cholangiography , Springfield, Ill: Charles C Thomas, Publisher, 1962;.
Harrington, O.B., et al:  Intravenous Cholangiography in Acute Cholecystitis: Use in Differential Diagnosis , Arch Surg 88:585-589 ( (April) ) 1964;.
Lasser, E.C.:  The Pharmacodynamics of Biliary Contrast Media , Radiol Clin N Amer 4:511-520 ( (Dec) ) 1966;.
Lindgren, P.; Nordenstam, H.; and Saltzman, G.F.:  Effects of Iodipamide on the Kidneys , Acta Radiol 4:129-138 ( (March) ) 1966;.
Peters, G.A.; Hodgson, J.R.; and Donovan, R.J.:  The Effect of Premedication With Chlorpheniramine on Reactions to Iodipamide Methylglucamine , J Allerg 38:74-83 ( (Aug) ) 1966;.
DeNosaquo, N.:  Reactions to Contrast Media , Radiology 91:92-95 ( (July) ) 1968;.
Craft, I.L., and Swales, J.D.:  Renal Failure After Cholangiography , Brit Med J 2:736-738 ( (June) ) 1967;.
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