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1. Contributors

Author

Ghada Y. Afifi, Edward Akelman, Louis C. Argenta, Eric Arnaud, Duffield Ashmead, Sherrell J. Aston, Kodi K. Azari, Daniel J. Azurin, Russell Babbitt, Stephen B. Baker, Nabil A. Barakat, Raymond L. Barnhill, David T. Barrall, Scott P. Bartlett, Bruce S. Bauer, Erik M. Bauer, Stephen P. Beals, Michael L. Bentz, Samuel J. Beran, Richard A. Berger, Nada Berry, Walter L. Biffl, Kirby I. Bland, Loren J. Borud, Vincent Boyd, Lynn Breglio, David J. Bryan, Steven R. Buchman, Harry J. Buncke, Rudolf Buntic, Renee Burke, Richard I. Burton, Anthony A. Caldamone, Ryan P. Calfee, Chris A. Campbell, Lois Carlson, Stephanie A. Caterson, Christi M. Cavaliere, Eric I-Yun Chang, Joyce C. Chen, Ben J. Childers, Gloria A. Chin, Simon H. Chin, Niki A. Christopoulos, William G. Cioffi, Brian S. Coan, Marilyn A. Cohen, Mimis Cohen, Stephen Daane, David J. David, Jorge I. de la Torre, Anthony J. DeFranzo, A. Lee Dellon, Jaimie DeRosa, Christine A. DiEdwardo, Joseph J. Disa, Sean T. Doherty, Rudolph F. Dolezal, Raymond G. Dufresne, Christian Dumontier, Raymond M. Dunn, Lee E. Edstrom, W.G. Eshbaugh, Gregory R.D. Evans, Jeffrey A. Fearon, Alvaro A. Figueroa, Jack Fisher, R. Jobe Fix, James W. Fletcher, Robert S. Flowers, Christopher R. Forrest, M. Brandon Freeman, Jack A. Friedland, Karen E. Frye, Brian R. Gastman, Louis A. Gilula, Mark H. Gonzales, James T. Goodrich, Vijay S. Gorantla, Mark Gorney, Mark S. Granick, Arin K. Greene, Joshua A. Greenwald, Joseph S. Gruss, Punita Gupta, Geoffrey C. Gurtner, Mark N. Halikis, Geoffrey G. Hallock, Eric G. Halvorson, Dennis C. Hammond, Rebecca J.B. Hammond, Albert R. Harris, Raymond J. Harshbarger, Robert J. Havlik, Tad R. Heinz, Vincent R. Hentz, Rosemary Hickey, Larry Hollier, Roy W. Hong, Erik A. Hoy, Andrew Hsu, Jennifer Hunter-Yates, Ian T. Jackson, Lisa M. Jacob, Sonu A. Jain, Raymond V. Janevicius, Shao Jiang, Jesse B. Jupiter, Lana Kang, Girish B. Kapur, Joseph Karamikian, Henry K. Kawamoto, Carolyn L. Kerrigan, Christopher Khorsandi, Dana K. Khuthaila, David C. Kim, Jon Kline, Cynthia L. Koudela, Thomas J. Krizek, Matthew D. Kwan, Albert Lam, Howard N. Langstein, Don LaRossa, Donald R. Laub, Jonathan L. Le, Raphael C. Lee, W.P. Andrew Lee, Dennis E. Lenhart, L. Scott Levin, David M. Lichtman, James Lilley, Kant Y. Lin, John William Little, Michael T. Longaker, Matthew S. Loos, Joseph E. Losee, Arnold Luterman, Sheilah A. Lynch, Susan E. Mackinnon, Terry R. Maffi, Eric J. Mahoney, Ahmed Seif Makki, Jeffrey V. Manchio, Ernest K. Manders, Mahesh H. Mankani, Paul N. Manson, Daniel Marchac, Malcolm W. Marks, William J. Martin, Paul A. Martineau, Stephen J. Mathes, G. Patrick Maxwell, Joseph G. McCarthy, William T. McClellan, Michael P. McConnell, Robert M. McFarlane, Mary H. McGrath, Leslie T. McQuiston, Vineet Mehan, Anjali R. Mehta, Julie A. Melchior, Robert M. Menard, Frederick Menick, Martin C. Mihm, D. Ralph Millard, Fernando Molina, Fernando Ortiz Monasterio, Louis Morales, Robert J. Morin, Chaitanya S. Mudgal, John B. Mulliken, Thomas A. Mustoe, Jeffrey N. Myers, Maurice Y. Nahabedian, Michael W. Neumeister, Mary Lynn Newport, Zahid Niazi, Sacha Obaid, Suzanne Olbricht, Osak Omulepu, Sonal Pandya, Marcello Pantaloni, Frank A. Papay, Robert J. Paresi, Amar Patel, Jagruti C. Patel, Wilfred C.G. Peh, Jane A. Petro, John W. Polley, Samuel O. Poore, Julian J. Pribaz, Somayaji Ramamurthy, Sai S. Ramasastry, David L. Ramirez, Oscar M. Ramirez, Peter Randall, Peter D. Ray, W. Bradford Rockwell, Craig M. Rodner, Alan Rosen, Harvey Rosen, Douglas C. Ross, Shai Rozen, Leonard K. Ruby, Jaiyoung Ryu, Justin M. Sacks, Jhonny Salomon, Kenneth E. Salyer, Sven N. Sandeen, Shawkat Sati, Stefan Schneeberger, David P. Schnur, Paul L. Schnur, Richard C. Schultz, David M. Schwartzenfeld, Karl A. Schwarz, Brooke R. Seckel, John T. Seki, Alex Senchenkov, Mark Shashikant, Dan H. Shell, Saleh M. Shenaq, Michele A. Shermak, Prasanna-Kumar Shivapuja, Maria Siemionow, Davinder J. Singh, Sumner A. Slavin, Eugene M. Smith, Erhan Sonmez, Nicholas J. Speziale, Melvin Spira, John L. Spolyar, David A. Staffenberg, Samuel Stal, Eric J. Stelnicki, Mitchell A. Stotland, James W. Strickland, Brent V. Stromberg, Patrick K. Sullivan, Matthew R. Swelstad, Julio Taleisnik, Peter J. Taub, Oren M. Tepper, Julia K. Terzis, Dean M. Toriumi, Bryant A. Toth, Thomas Trumble, Raymond Tse, Raoul Tubiana, Joseph Upton, Luis O. Vásconez, Nicholas B. Vedder, Adam J. Vernadakis, Armand D. Versaci, William F. Wagner, Jennifer L. Walden, Derrick C. Wan, Stephen M. Warren, H. Kirk Watson, Renata V. Weber, Andrew J. Weiland, Adam B. Weinfeld, Jeffrey Weinzweig, Norman Weinzweig, Arnold-Peter C. Weiss, Linton A. Whitaker, Deborah J. White, Lisa Ann Whitty, S. Anthony Wolfe, Ronit Wollstein, Albert S. Woo, R. Christie Wray, Michael J. Yaremchuk, Soheil S. Younai, Jack C. Yu, Eser Yuksel, Alarick Yung, Priya S. Zeikus, and Richard J. Zienowicz

Published
2010
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3. Rubber tube stent in common bile duct repair

Author

Matthew C.C. Kim and Frederick Menick

Subjects
medicine.medical_specialty, Common bile duct, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Stent, General Medicine, Anatomy, Anastomosis, Jaundice, Surgery, medicine.anatomical_structure, Cholangiography, Duodenum, Medicine, medicine.symptom, business, Ampulla, Duct (anatomy)
Abstract

In this particular case only the posterior wall of the common bile duct was repaired by direct mucosa to mucosa chromic sutures. The rubber tube, 8 cm. in length, was inserted into the duct and its distal end passed through ampulla for a distance of 2 cm. into the duodenum. The defect over the anterior surface was bridged by surrounding tissue over the rubber tube. This surrounding noncontractile tissue may have been a factor in the tube remaining in position so long. The fraction of the tube lying in the duodenum was short and perhaps peristaltic tug could not be effective. On the other hand, the large concretion over the proximal end of the tube may have been an anchoring factor as the time passed. Careful questioning failed to reveal any symptoms suggestive of biliary obstruction beginning before June 1962, twenty-six years after insertion of the tube. Obviously, the occluded tube and its calculi did not cause obstruction and bile did enter the duodenum around the tube, as proved by periods of waxing and waning jaundice. We have no way of determining when calculi and encrustation [10] began to form within the tube after its insertion in 1935. It is not remarkable that the intravenous cholangiogram failed to show the biliary tree because of the elevated alkaline phosphatase (29.6 per cent) and bilirubin levels, direct 5.2 mg. per cent and indirect 8.2 mg. percent [30]. The rubber tube stent was removed at operation together with multiple calculi. The site of the previous anastomosis was not identifiable, and the wall of the common duct was resilient and only mildly thickened. The patient has remained well to this date, thirty-three months postoperatively. As far as we know, the longest period a vitallium tube remained in the common duct was twelve years [2]. Thus, we believe our case of the indwelling rubber tube, in situ for twenty-seven years, is the longest on record.

Published
1965
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