Observations on the secretion of bile in a case of biliary fistula / by A.W. Mayo Robson.

  • Robson, Arthur William Mayo, Sir, 1853-1933.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Observations on the secretion of bile in a case of biliary fistula / by A.W. Mayo Robson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    3/28
    Observations on the Secretion of Bile in a case of Biliary Fistula. By A. W. Mayo Hobson, F.R.C.S., Hon. Siu-geon, Leeds General Infirmary, Lecturer on Practical Surgeiy at the Yorkshire College, and Examiner in the Victoria University. Communicated by Dr. CLIFFORD Allbutt, F.R.S. Received April 3, 1890.* There are few physiological questions on which so much doubt and disagreement prevail as on that of the secretion and uses of bile, this being especially marked when we come to compare the appa- rently contradictory observations of various experimenters relating to the action of drugs on the biliary secretion. As the well known experiments of Dr. Rutherford and Messrs. Prevost and Binet were conducted on the lower animals, it may possibly account for the differences between their observations and those recorded in this paper. From the rarity of cases of biliary fistula in healthy human subjects, the opportunity has rarely occurred for a careful analysis of fresh bile in suflBcient quantity, or for a complete analysis of the whole twenty-four hours' secretion ; and in all previous analyses no notice has been taken of the gall-bladder secretion. In the following cases, the fistulae remained open for long periods after the initial operations, the total flow of bile or gall- bladder secretion was carefully collected and accurately measured at differenb times and for many consecutive hours at a time, and the general good health of the patients was manitained throughout. Method of Collecting. The fluid was caught in a light glass flask, into the mouth of which it was guided by means of a celluloid cannula, a substance chosen after several trials with metal ones, on account of its lightness and non-irritating qualities. * Thi3 paper is a rerigion of that read on .January 16, under the title Obscrra- tions regarding the Secretion and Uses of Bile (see p. 129, supra). b