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        담즙의 대량배출에 대한 임상적 고찰

        박용현(Yong Hyun Park),최상경(Sang Kyong Choi) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2

        N/A Daily amount of bile that drains through T-tube usually does not exceed 500 cc. If this amount is exceeding the daily normal output, one should suspect obstruction of distal common bile duct. Rut there were known cases in which we could find the daily amount of bile is over 2,000 cc without any obstruction of distal common bile duct. Lenthal et al reported 7 cases of excessive drainage of bile in 1970 and termed it as bilorrhea. There after, sporadic cases were reported in the literature and possible mechanisms were postulated. Authors experienced 5 cases of excessive drainage of bile in recent 5 years at the Department of Surgery, Seoul National University Hospital. All of them draind more than 2, 000 cc of bile daily, more than one day, post-operatively through T-tube without any obstruction of distal common bile duct. Clinical analysis were done on these cases and possible mechanisms for these phenomenan were discussed. We found that if we can divert the flow of bile to intestine by any means, there is no difficulty in dealing with these patients because it is a temporary phenomenon after relief of obstruction of bile duct.

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