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Obstructive Jaundice as a Complication of Pancreatitis

1963; American College of Physicians; Volume: 58; Issue: 2 Linguagem: Inglês

10.7326/0003-4819-58-2-245

1539-3704

Bernard R. Weinstein,

Gallbladder and Bile Duct Disorders

Article1 February 1963Obstructive Jaundice as a Complication of PancreatitisBERNARD R. WEINSTEIN, M.D., ROY J. KORN, M.D., F.A.C.P., HYMAN J. ZIMMERMAN, M.D., F.A.C.P.BERNARD R. WEINSTEIN, M.D., ROY J. KORN, M.D., F.A.C.P., HYMAN J. ZIMMERMAN, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-2-245 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPersistent obstructive jaundice produced by pancreatitis is a well-documented phenomenon (1-10). In patients without demonstrable extrahepatic biliary tract disease, often alcoholics, the jaundice has been shown to be the result of obstruction of the intrapancreatic portion of the common bile duct by the inflammatory lesion, or its sequelae (8-10).Transientobstructive jaundice produced by pancreatitis, however, has received much less attention than its more persistent form. Rapidly subsiding jaundice in alcoholic patients is frequently attributed to intrahepatic cholestasis secondary to parenchymal hepatic disease (fatty metamorphosis (11, 12), "alcoholic hepatitis" (13, 14), or cirrhosis), despite the frequent association of pancreatitis with...References1. FRASER J: The surgical treatment of obstructive jaundice in pancreatic disease. Brit. J. Surg. 26: 393, 1938. CrossrefGoogle Scholar2. EDMONDSONBULLOCKMEHL HAWKJW: Chronic pancreatitis and lithiasis. Amer. J. Path. 25: 1227, 1949. MedlineGoogle Scholar3. SELESNICK S: Recurrent jaundice in chronic relapsing pancreatitis. Gastroenterology 21: 230, 1952. CrossrefMedlineGoogle Scholar4. MAIMONKIRSNERPALMER SNJBWL: Chronic recurrent pancreatitis. Arch. Intern. Med. 81: 56, 1948. CrossrefGoogle Scholar5. PETERSONCOLE LWWH: Chronic sclerosing pancreatitis causing complete stenosis of the common bile duct. Arch. Surg. 51: 15, 1945. CrossrefGoogle Scholar6. 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Zimmerman, M.D., Chicago Medical School, 710 Wolcott Street, Chicago 12, Illinois. 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IIISerum Enzymes in Gastrointestinal Diseases 1 February 1963Volume 58, Issue 2Page: 245-258KeywordsAlcoholicsCirrhosisHospital medicineHyperlipidemiaIngestionLesionsMedical servicesNecrosisPancreatitisPhosphatases ePublished: 1 December 2008 Issue Published: 1 February 1963 PDF downloadLoading ...