Treatment of Retained Bile Duct Calculi with T-Tube Infusion of Sodium Cholate and Heparin

L. A. Christiansen Dept. of Surgery C., Surgical Gastroenterology, Rigshospitalet, University of Copenhagen, Denmark, Dept. of Surgery II, Sahlgrenska Sjukhuset, Göteborg, Sweden, Dept. of Surgery S., Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, and Dept. of Clinical Chemistry, Frederiksberg Hospital, Copenhagen, Denmark

T. Scherstén Dept. of Surgery C., Surgical Gastroenterology, Rigshospitalet, University of Copenhagen, Denmark, Dept. of Surgery II, Sahlgrenska Sjukhuset, Göteborg, Sweden, Dept. of Surgery S., Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, and Dept. of Clinical Chemistry, Frederiksberg Hospital, Copenhagen, Denmark

F. Burcharth Dept. of Surgery C., Surgical Gastroenterology, Rigshospitalet, University of Copenhagen, Denmark, Dept. of Surgery II, Sahlgrenska Sjukhuset, Göteborg, Sweden, Dept. of Surgery S., Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, and Dept. of Clinical Chemistry, Frederiksberg Hospital, Copenhagen, Denmark

A. Bruusgaard Dept. of Surgery C., Surgical Gastroenterology, Rigshospitalet, University of Copenhagen, Denmark, Dept. of Surgery II, Sahlgrenska Sjukhuset, Göteborg, Sweden, Dept. of Surgery S., Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, and Dept. of Clinical Chemistry, Frederiksberg Hospital, Copenhagen, Denmark

L. Lindblad Dept. of Surgery C., Surgical Gastroenterology, Rigshospitalet, University of Copenhagen, Denmark, Dept. of Surgery II, Sahlgrenska Sjukhuset, Göteborg, Sweden, Dept. of Surgery S., Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, and Dept. of Clinical Chemistry, Frederiksberg Hospital, Copenhagen, Denmark

E. Cahlin Dept. of Surgery C., Surgical Gastroenterology, Rigshospitalet, University of Copenhagen, Denmark, Dept. of Surgery II, Sahlgrenska Sjukhuset, Göteborg, Sweden, Dept. of Surgery S., Surgical Gastroenterology, Gentofte Hospital, University of Copenhagen, and Dept. of Clinical Chemistry, Frederiksberg Hospital, Copenhagen, Denmark

Abstract

A series of 26 patients with retained radiolucent bile duct calculi diagnosed at postoperative cholangiagrophy through the T-tube is presented. All patients were treated with infusion of 15-20 g sodium cholate in 1000 ml saline and 20,000 units of heparin in 1000 ml saline per 24 hours. In 19 of 26 patients (73 per cent) the calculi disappeared. No complications were encountered. This treatment is recommended prior to reoperation in all patients with retained radiolucent bile duct calculi diagnosed by postoperative cholangiography through the T-tube.

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Treatment of Retained Bile Duct Calculi with T-Tube Infusion of Sodium Cholate and Heparin

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Treatment of Retained Bile Duct Calculi with T-Tube Infusion of Sodium Cholate and Heparin

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