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INTRAVENOUS CHOLANGIOGRAPHY

AN EXPERIMENTAL EVALUATION OF SEVERAL CURRENTLY PROPOSED METHODS

ALBERT A. MOSS M.D.1, JAMES NELSON M.D.2, and JOHN AMBERG M.D.

1 Academic Trainee in Diagnostic Radiology.
2 Trainee in Veterans Administration Radiology Training Program.

Direct and infusion cholangiography was compared in dogs. Biliary and blood iodine concentrations were measured and biliary flow rates recorded continuously.

The conclusions reached are:

1. maximum biliary iodine concentration is not increased by a slow infusion;

2. glucose, sorbitol, hypertonic glucose, saline and iopanoic acid caused no increase in biliary iodine concentration;

3. slow infusion failed to prolong biliary iodine levels;

4. slow infusion failed to cause an increase in the per cent of iodine dose recovered in the bile.

The clinical rationale for using drip infusion appears to be only the decreased morbidity in patients.


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