0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

USE OF THE DEFUNCTIONALIZED LOOP OF JEJUNUM IN BILIARY AND PANCREATIC SURGERY

L. W. PETERSON, M.D.; WARREN H. COLE, M.D.
Arch Surg. 1948;56(4):445-458. doi:10.1001/archsurg.1948.01240010453001.
Text Size: A A A
Published online

ON VARIOUS occasions it becomes necessary to perform anastomoses between the intestinal tract and the gallbladder, common duct, cysts of the common duct, pancreatic cysts and pancreatic fistulas. Direct anastomosis to the side of the duodenum or jejunum represents a simple type of procedure to allow discharge of the bile or pancreatic secretion into the intestine. Such a direct anastomosis would naturally allow reflux of food and intestinal content, at least to a mild degree, into the structure anastomosed with the intestine. It would appear that this reflux of food and irritating intestinal content might give rise to infection. In the majority of instances this does not occur, at least not to a detrimental degree, particularly when an operation such as cholecystoduodenostomy is performed as a palliative procedure for inoperable carcinoma of the head of the pancreas.

To minimize the danger of infection, an anastomosis between the gallbladder and the

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.
NOTE:
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).
Submit a Comment

Multimedia

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

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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

Jobs
brightcove.createExperiences();