{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:15:00Z","timestamp":1777864500110,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1985,3,1]],"date-time":"1985-03-01T00:00:00Z","timestamp":478483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[1985,3]]},"abstract":"<jats:p>Fifty consecutive patients with obstructive jaundice treated by operation in Canterbury &amp; Thanet Health District hospitals under the care of one surgeon (RECC) over a 6-year period have been studied. The pathology was found to be common bile duct (CBD) stone in 22 patients (44%); pancreatic carcinoma in 15 (30%), 3 of whom also had CBD stones; chronic pancreatitis in 4 (8%); extrahepatic CBD carcinoma in 4 (8%); ampulla of Vater carcinoma in 3 (6%); primary duodenal carcinoma in 1 (2%); and portahepatis obstruction in 4 (8%). The 8 postoperative deaths (16%) were found to be associated with high preoperative levels of serum bilirubin, but all occurred in patients with malignant disease. Complications occurred in 20 patients (40%) and bile culture state was found to be intimately related to the morbidity rather than operative mortality. The study represents a careful audit of the pathology distribution and the surgical management of obstructive jaundice as seen in district hospitals.<\/jats:p>","DOI":"10.1177\/014107688507800308","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T17:32:30Z","timestamp":1484069550000},"page":"211-216","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Relief of Obstructive Jaundice in a District General Hospital"],"prefix":"10.1177","volume":"78","author":[{"given":"M A R","family":"Al-Fallouji","sequence":"first","affiliation":[{"name":"Department of Surgery, Kent & Canterbury Hospital, Canterbury and Isle of Thanet District Hospital, Margate, Kent"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R E C","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kent & Canterbury Hospital, Canterbury and Isle of Thanet District Hospital, Margate, Kent"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1985,3,1]]},"reference":[{"key":"bibr-bibr1-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800660606"},{"key":"bibr-bibr2-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800631011"},{"key":"bibr-bibr3-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198003000-00002"},{"key":"bibr-bibr4-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800670102"},{"key":"bibr-bibr5-014107688507800308","unstructured":"Dawson J (1981) In: Surgical Review 2. Ed. Lumley J S P, Craven J L. Pitman Medical, London & Melbourne; p 86."},{"key":"bibr-bibr6-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.51.598.510"},{"key":"bibr-bibr7-014107688507800308","unstructured":"Hermann R E (1981) In: The Pancreas. Ed. Keynes E M, Keith R G. Heinemann Medical, London; p 211."},{"key":"bibr-bibr8-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198203000-00006"},{"key":"bibr-bibr9-014107688507800308","first-page":"329","volume":"26","author":"Irving J D","year":"1981","journal-title":"British Journal of Hospital Medicine"},{"key":"bibr-bibr10-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)92543-6"},{"key":"bibr-bibr11-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197512000-00010"},{"key":"bibr-bibr12-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197107010-00023"},{"key":"bibr-bibr13-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800660605"},{"key":"bibr-bibr14-014107688507800308","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(66)80078-1"}],"container-title":["Journal of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107688507800308","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107688507800308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:42:53Z","timestamp":1777527773000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014107688507800308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,3]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1985,3]]}},"alternative-id":["10.1177\/014107688507800308"],"URL":"https:\/\/doi.org\/10.1177\/014107688507800308","relation":{},"ISSN":["0141-0768","1758-1095"],"issn-type":[{"value":"0141-0768","type":"print"},{"value":"1758-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,3]]}}}