title: [Rationalization and limits of diagnostic and operative measures in invasive cholestasis diagnosis (percutaneous transhepatic cholangiography) in primary medical care].
abstract: In a case of jaundice PTC enables the surgeon to detect its mechanical cause without further delay. This method is especially helpful in smaller hospitals without CT or even sonographic equipment. Explorative laparotomy is no longer necessary. An immediate decision can be made whether to perform a palliative or curative procedure or only to install a percutaneous bile drainage.
mesh_terms: D001661:Biliary Tract Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D002758:Cholangiography / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D002779:Cholestasis / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D014463:Ultrasonography
vernacular_title: Rationalisierung und Begrenzung diagnostischer und operativer Massnahmen durch die invasive Cholestasediagnostik (perkutane transhepatische Cholangiographie) in der medizinischen Grundbetreuung.