The Significance of Biliary Pressure

Roger D. Williams, MD; Jay C. Fish, MD; Drew D. Williams, MD
Arch Surg. 1967;95(3):374-379. doi:10.1001/archsurg.1967.01330150050008.
Text Size: A A A
Published online

ALTHOUGH bile duct and hepatic venous pressures have been extensively studied, not enough attention has been given to the effects of pressure upon the liver and bile ducts.1-4 The relationship of obstruction, pressure, and infection in the bile ducts to jaundice requires further clarification. It is often assumed that jaundice in patients with cholecystitis may be due to infection or the mixture of bile and pancreatic juice in the biliary system.5 The importance of obstruction and pressure may be overlooked if it is assumed that only infection or chemical cholangitis can cause jaundice.

In order to clarify the relationship of biliary pressure to serum enzyme and bilirubin level changes and to the alterations in the liver and bile ducts, experimental biliary obstruction has been compared with clinical findings. Partial and complete biliary obstruction with and without bacterial infection has been produced in dogs. Changes noted have been compared


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).
Submit a Comment


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.