Bilirubin and alkaline phosphatase values before and after surgery for biliary obstruction.

@article{Pellegrini1982BilirubinAA,
  title={Bilirubin and alkaline phosphatase values before and after surgery for biliary obstruction.},
  author={Carlos A. Pellegrini and Matthew J Thomas and Lawrence W. Way},
  journal={American journal of surgery},
  year={1982},
  volume={143 1},
  pages={67-73}
}
From a study of 178 patients who underwent operation for biliary obstruction, we found that preoperative bilirubin values above 14 mg/dl and alkaline phosphatase values over 5 times normal meant that common duct stones were an unlikely cause of the obstruction. Jaundice for more than 4 weeks before operation, bilirubin values greater than 10 mg/dl and the presence of significant fibrosis in the portal spaces indicated a lower than average chance of postoperative resolution of jaundice. After… CONTINUE READING

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