{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:43:12Z","timestamp":1789076592174,"version":"build-2803163510"},"reference-count":28,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1960,12]]},"abstract":"<jats:p>This is an evaluation of percutaneous transhepatic cholangiography, a technique of over eight years' standing, previously considered by many authorities as both unrewarding and dangerous. The value and risks of the procedure have been examined in 20 patients with obstructive jaundice of uncertain origin and in one further patient with a post-cholecystectomy syndrome. The presence and the nature of extrahepatic obstructive lesions was correctly diagnosed in 10 of 11 patients shown to have this cause for jaundice. The failure to obtain cholangiograms in the remaining 10 patients was correctly correlated with the presence of intrahepatic obstructive disease due to hepatitis or primary biliary cirrhosis. The risks of percutaneous cholangiography seem over-rated, biliary peritonitis occurring in under 5% of patients submitted to the procedure.<\/jats:p>","DOI":"10.1136\/gut.1.4.357","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"357-365","source":"Crossref","is-referenced-by-count":21,"title":["Percutaneous Transhepatic Cholangiography"],"prefix":"10.1136","volume":"1","author":[{"given":"Michael","family":"Atkinson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret G.","family":"Happey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis G.","family":"Smiddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1960,12,1]]},"reference":[{"key":"ref_1","first-page":"1991","volume":"40","author":"Alvarez, R.; Jensen, N.F.","year":"1953","unstructured":"Alvarez, R., and Jensen, N. F. (1953). Colangiografia transabdominal. Pren. med. argent., 40, 1991-1996.","journal-title":"Colangiografia transabdominal. Pren. med. argent"},{"key":"ref_2","first-page":"1019","volume":"15","author":"Barbier, F.","year":"1959","unstructured":"Barbier, F. (1959). De transhepatiscbe Cholangiografie. Beig. T. Geneesk., 15, 1019-1027.","journal-title":"Geneesk"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1001\/jama.1952.02930040009002","article-title":"Transabdominal cholangiography","volume":"148","author":"Carter, R.F.; Saypol, G.M.","year":"1952","unstructured":"Carter, R. F., and Saypol, G. M. (1952). Transabdominal cholangiography. J. Amer. med. Ass., 148, 253-255.","journal-title":"J. Amer. med. Ass"},{"key":"ref_4","article-title":"Cholangiographie transcutaneo-h6patique","author":"Crismer, R.","year":"1953","unstructured":"Crismer, R. (1953). Cholangiographie transcutaneo-h6patique."},{"key":"ref_5","first-page":"130","article-title":"Colangiografia transepatica percutanea","volume":"49","author":"Felci, U.","year":"1958","unstructured":"Felci, U. (1958). Colangiografia transepatica percutanea. Minerva med. (Torino), [Parte Sci.], 49, 130-136.","journal-title":"Minerva med. (Torino), [Parte Sci.]"},{"key":"ref_6","author":"Fuente, R.de la; Patillo, C.; Koch, W.; Mallet-Guy, P.","year":"1954","unstructured":"Fuente, R. de la, Patillo, C., Koch, W., and Mallet-Guy, P. (1954)."},{"key":"ref_7","first-page":"335","article-title":"Colangiografia por poncion percutanea; odditis papilotomia","volume":"37","author":"Goni Moreno, I.","year":"1953","unstructured":"Goni Moreno, I. (1953). Colangiografia por poncion percutanea; odditis papilotomia. Bol. Acad. argent. Cirug., 37, 335-337.","journal-title":"Bol. Acad. argent. Cirug"},{"key":"ref_8","first-page":"772","article-title":"La cholangiographie transparieto-h6patique","volume":"65","author":"Housset, E.; Vantsis, G.","year":"1957","unstructured":"Housset, E., and Vantsis, G. (1957). La cholangiographie transparieto-h6patique. Presse mdd., 65, 772-773.","journal-title":"Presse mdd"},{"key":"ref_9","first-page":"1090","article-title":"La ponction transh6patique des canaux biliaires","volume":"15","author":"Huard, P.; Do-Xuan-Hop","year":"1937","unstructured":"Huard, P., and Do-Xuan-Hop (1937). La ponction transh6patique des canaux biliaires. Bull. Soc. med.-chir. Indoch., 15, 1090-1100.","journal-title":"Bull. Soc. med.-chir. Indoch"},{"key":"ref_10","first-page":"180","article-title":"Technique de la ponction transparietohepatique de la v6sicule biliaire et radiomanometrie transh6pato-v6siculaire preop6ratoire","volume":"88","author":"Kapandji, M.","year":"1950","unstructured":"Kapandji, M. (1950). Technique de la ponction transparietohepatique de la v6sicule biliaire et radiomanometrie transh6pato-v6siculaire preop6ratoire. Rev. Chir. (Paris), 88, 180-192, 230-246, 308-319, and 341-356.","journal-title":"Rev. Chir. (Paris)"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1007\/BF02232631","article-title":"Percutaneous transhepatic cholangiography","volume":"5","author":"Kaplan, A.A.; Brodsky, L.; Rumball, J.M.","year":"1960","unstructured":"Kaplan, A. A., Brodsky, L., and Rumball, J. M. (1960). Percutaneous transhepatic cholangiography. Amer. J. dig. Dis., 5 (n.s.), 450-457.","journal-title":"Amer. J. dig. Dis"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1001\/archsurg.1956.01270200078014","article-title":"Percutaneous transhepatic cholangiography","volume":"72","author":"Kidd, H.A.","year":"1956","unstructured":"Kidd, H. A. (1956). Percutaneous transhepatic cholangiography. A.M.A. Arch. Surg., 72, 262-268.","journal-title":"Arch. Surg"},{"key":"ref_13","first-page":"936","article-title":"Cholangiographie et drainage biliaire par ponction trans-hepatique","volume":"60","author":"Leger, L.; Zara, M.; Arvay","year":"1952","unstructured":"Leger, L., Zara, M., and Arvay (1952). Cholangiographie et drainage biliaire par ponction trans-hepatique. Presse mdd., 60, 936-937.","journal-title":"Presse mdd"},{"key":"ref_14","first-page":"967","article-title":"Cholangiographie et drainage biliaire par ponction trans-parieto-hepatique","volume":"42","author":"P.; Wargnier, M.","year":"1953","unstructured":"-,1,P and Wargnier, M. (1953). Cholangiographie et drainage biliaire par ponction trans-parieto-hepatique. Arch. Mal. Appar. dig., 42, 967-978.","journal-title":"Arch. Mal. Appar. dig"},{"key":"ref_15","first-page":"341","article-title":"Die transcutane Cholangiographie bei ikterischen Patienten","volume":"27","author":"Mandi, F.","year":"1956","unstructured":"Mandi, F. (1956). Die transcutane Cholangiographie bei ikterischen Patienten. Chirurg., 27, 341-343.","journal-title":"Chirurg"},{"key":"ref_16","first-page":"553","article-title":"La colangiografia transparietohepatica en una obesa con hernia umbilical","volume":"115","author":"Marcasoli, A.; Cetra, A.","year":"1959","unstructured":"Marcasoli, A., and Cetra, A. (1959). La colangiografia transparietohepatica en una obesa con hernia umbilical. Sem. med. (B. Aires), 115, 553-556.","journal-title":"Sem. med. (B. Aires)"},{"key":"ref_17","first-page":"3787","article-title":"Es la colangiografia transparietohepatica una tecnica diagnostica \"inadmisible??\"","volume":"44","author":"Meeroff, M.","year":"1957","unstructured":"Meeroff, M. (1957). Es la colangiografia transparietohepatica una tecnica diagnostica \"inadmisible??\". Pren. mdd. argent., 44, 3787-3791.","journal-title":"Pren. mdd. argent"},{"key":"ref_18","first-page":"1094","article-title":"Colangiografia transabdominal","volume":"40","author":"Michelini, R.T.","year":"1953","unstructured":"Michelini, R. T. (1953). Colangiografia transabdominal. Ibid., 40, 1094-1096.","journal-title":"Ibid"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1002\/bjs.18004116509","article-title":"Percutaneous transhepatic cholangiography in the diagnosis of obstructive jaundice","volume":"41","author":"Nurick, A.W.; H., Patey D.; Whiteside, C.G.","year":"1953","unstructured":"Nurick, A. W., Patey D. H., and Whiteside, C. G. (1953). Percutaneous transhepatic cholangiography in the diagnosis of obstructive jaundice. Brit. J. Surg., 41, 27-30.","journal-title":"Brit. J. Surg"},{"key":"ref_20","author":"Redington, J.C.; Fitzgerald, W.T.; Knight, W.","year":"1957","unstructured":"Redington, J. C., Fitzgerald, W. T., and Knight, W. A., Jr. (1957).","journal-title":"A., Jr"},{"key":"ref_21","first-page":"39","article-title":"Percutaneous transhepatic cholangiography","volume":"31","year":"1956","unstructured":"Remolar, J., Katz, S., Rybak, B., and Pellizari, 0. (1956). Percutaneous transhepatic cholangiography. Ibid., 31, 39-46.","journal-title":"Ibid"},{"key":"ref_22","first-page":"2865","volume":"44","author":"Richieri, A.","year":"1957","unstructured":"Richieri, A. (1957). Editorial. Pren. med. argent., 44, 2865.","journal-title":"Editorial. Pren. med. argent"},{"key":"ref_23","first-page":"1058","article-title":"La colangiografia laparoscopica transhepatica","volume":"41","author":"Royer, M.; Biempica, L.; Sileoni, V.","year":"1954","unstructured":"Royer, M., Biempica, L., and Sileoni, V. (1954). La colangiografia laparoscopica transhepatica. Ibid., 41, 1058-1062.","journal-title":"Ibid"},{"key":"ref_24","first-page":"976","article-title":"La cholangiographie transparieto-h6patique sous controle radioscopique","volume":"64","author":"Mazure, P.A.; Patrizzi, E.; D'Alotto, V.","year":"1956","unstructured":"Mazure, P. A., Patrizzi, E., and D'Alotto, V. (1956). La cholangiographie transparieto-h6patique sous controle radioscopique. Presse med., 64, 976-977.","journal-title":"Presse med"},{"key":"ref_25","first-page":"586","article-title":"Cholangiography performed with the help of peritoneoscopy","volume":"8","author":"Mazure, P.A.; Patrizzi, E.; D'Alotto, V.; Solari, A.V.","year":"1947","unstructured":"Mazure, P. A., Patrizzi, E., and D'Alotto, V. and Solari, A. V. (1947). Cholangiography performed with the help of peritoneoscopy. Gastroenterology, 8, 586-591.","journal-title":"Gastroenterology"},{"key":"ref_26","first-page":"1585","volume":"3","author":"Sobredo, E.E.; Garcia Siguero, P.R.","year":"1954","unstructured":"Sobredo, E. E., and Garcia Siguero, P. R. (1954). Colangiografia transabdominal. Orientacibn med., 3, 1585-1588.","journal-title":"Colangiografia transabdominal. Orientacibn med"},{"key":"ref_27","first-page":"2873","article-title":"La colangiografia por puncion hepatica","volume":"44","author":"Varela Fuentes, B.; Bertoni, C.; Polero, J.","year":"1957","unstructured":"Varela Fuentes, B., Bertoni, C., and Polero, J. (1957). La colangiografia por puncion hepatica. Pren. med. argent., 44, 2873-2883.","journal-title":"Pren. med. argent"},{"key":"ref_28","first-page":"2277","article-title":"Colangiografia transparietohepatica","volume":"45","author":"Wilks, A.E.; Valenzuela, D.; Schaposnik, F.","year":"1958","unstructured":"Wilks, A. E., Valenzuela, D., and Schaposnik, F. (1958). Colangiografia transparietohepatica. Ibid,, 45, 2277-2279.","journal-title":"Ibid"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.1.4.357","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T12:38:54Z","timestamp":1765629534000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.1.4.357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1960,12]]},"references-count":28,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1960,12,1]]},"published-print":{"date-parts":[[1960,12]]}},"alternative-id":["10.1136\/gut.1.4.357"],"URL":"https:\/\/doi.org\/10.1136\/gut.1.4.357","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"value":"0017-5749","type":"print"},{"value":"1468-3288","type":"electronic"}],"subject":[],"published":{"date-parts":[[1960,12]]}}}