Fine-needle cholangiography (FNC) in the nonjaundiced patient

Frederick Keller, Ronald Katon, C. T. Dotter, M. K. Bilbao, Josef Rosch

Research output: Contribution to journalArticle

Abstract

Fine-needle cholangiography (FNC) in the jaundiced patient is well established, but its role in the diagnostic work-up of nonjaundiced patients has not been emphasized. We present 44 consecutive nonjaundiced patients with a serum bilirubin level of 2.4 mg% or less who underwent FNC. The indications were recurrent RUQ pain (77%), painless cholestasis (16%), and relapsing pancreatitis (7%). In all but two patients, one or more inconclusive techniques [oral cholecystography, ultrasonography, intravenous cholangiography, or endoscopic retrograde cholangiography (ERC)] had been employed prior to FNC. Biliary tract opacification was successful in 35 of 44 (80%). In nine of 35 (26%) choledocholithiasis and/or cholelithiasis was present. In four (11%) a significant extrahepatic biliary stricture was noted. More than five needle insertions were often required for successful entry. No complications occurred. Indications for FNC should be extended to include non-jaundiced patients with RUQ pain or painless cholestasis in whom oral cholecystography, ultrasonography, and intravenous cholangiography have been of no diagnostic help. The relative ease and low cost of FNC make it preferable to ERC in these patients.

Original languageEnglish (US)
Pages (from-to)125-129
Number of pages5
JournalJournal of Clinical Gastroenterology
Volume1
Issue number2
StatePublished - 1979

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Cholangiography
Needles
Cholecystography
Cholestasis
Ultrasonography
Choledocholithiasis
Pain
Cholelithiasis
Biliary Tract
Jaundice
Bilirubin
Pancreatitis
Pathologic Constriction
Costs and Cost Analysis

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Fine-needle cholangiography (FNC) in the nonjaundiced patient. / Keller, Frederick; Katon, Ronald; Dotter, C. T.; Bilbao, M. K.; Rosch, Josef.

In: Journal of Clinical Gastroenterology, Vol. 1, No. 2, 1979, p. 125-129.

Research output: Contribution to journalArticle

Keller, Frederick ; Katon, Ronald ; Dotter, C. T. ; Bilbao, M. K. ; Rosch, Josef. / Fine-needle cholangiography (FNC) in the nonjaundiced patient. In: Journal of Clinical Gastroenterology. 1979 ; Vol. 1, No. 2. pp. 125-129.
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