Abstract
During the last four years a great deal of work
has been done on Cholecystography, and it has now come
to be recognised as one of the great recent advances
in the diagnosis of Gall- bladder disease. it must
be emphasised, however, that a diagnosis should never
be made on radiographic evidence alone, without taking
into consideration the history and clinical findings.
in this `thesis an attempt is made to show that,
if the technique is carried out properly, the oral
administration of Sodium Tetraiodophenolphthalein
gives fairly accurate results. No attempt is made
to compare the oral and the intravenous methods.
The investigations have all been carried out
at the North Middlesex Hospital, London N.18,
during the past 18 months. The writer has studied
all the cases mentioned and has supervised the
administration of the dye.
A series of seventy cases was investigated and
X-rayed after the oral administration of Sodium
Tetraiodophenolphthalein; Fifty cases of this series
were operated upon and as this forms an important
group, the main facts in the histories and findings
are recorded.
As economy had to be considered, only three
X-ray photographs were taken of each patient.
The material which follows is arranged under
the following main headings: -
1. Historical Survey.
2. The Physiology of the Gall-Bladder.
3. The oral administration of Sodium
Tetraiodophenolphthalein.
4. Writer's case records - 50 cases
operated upon.
5. Summary and Conclusions.
6. X -ray photographic prints.
7. Bibliography.