THE ASSOCIATION BETWEEN GALL-BLADDER LESIONS AND HEPATITIS IN THE HUMAN SUBJECT
1930; BMJ; Volume: 1; Issue: 3622 Linguagem: Inglês
10.1136/bmj.1.3622.1041
ISSN0959-8138
Autores Tópico(s)Liver Disease and Transplantation
Resumolhave beeni written by others corroborating hlis coniteiitioii.T'hle present investigatioll was begnLn about three years ago to (letermine, if possible, tlhe extent the hepatitis, the type, and the route by which thie liver beconiesMys method has been muclh the same as that used-bv others- namnely, to obtain segments of liver at operation and: subject them to microscopic and bacteriological scrui-tiny- but I think my investigation has this advantage oktie ayii other within my knowledge, that sectionshlave taken from both lobes of the liver, in the riglt lobe at a distance of at least1 inch the gall-bladderl fossa, so that the whole liver should ,not judgedl the condition of that part of it in the imiiiediate neighbour- lhood of an inflamed gall-bladder.The method employed to obtainl thle liver sectionis follows: A triangular piece w-ith a base aboout half anl inch and sides rather longer was taken edge of the lright lobe under strictly precautions antid placed in a sterile tuibe; the sides of the gal) were brought together by one or more miattress sutuires fine cattgut and tied with juist slfficient tenisionl bleed-.inig.A similar proceeding was conducted side.In miost of the cases the gall-bladder wwas senit examinatiol, care being taken to prevent bile contact with the exterior.-Inmany cases the separately removed.A fresh set of instrumiiiienits was ised for each prroceeding, each specimiein being separ ate sterile tube; all were sent immiiecediately the labor atory for culture and later for Iiistolorical exaniiia- tion Thiere was never any difficulty in arriesting liaciiior- rhage, and the procedure did not seem disturl b tIme pr-ogress of the patients in the least.Th'here are 50 cases in this series, buit for-various rlea-sonis it has been possible to get a complete histological reeport of only 34.Of the 34 eases the gall-bladder xvas lpathio- logiical in 20 and normal in 14. h hese cases regardled as controls, and were operated oni i n n g conditions: 1 for subacute, appendicitis, chironic appeiidiciti.s, 2 for visceroptosis, 4 f'or duodenal ulcer, 3 for jjejunal ulcer, for gastric ulcce, for a coidlit ion miegeding laparot-oniiv T
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