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Arthur A. Hellebusch, MD
Lexington, Ky

JAMA. 1970;212(8):1377.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor:—

I appreciate Drs. Dine and Shuster's interest in "Renal Papillary Necrosis" (210: 1098, 1969) and concur in the use of DIP prior to retrograde pyelography. This roentgenographic technique has decreased the need for retrogrades in many instances. I have employed DIP in the past five to six years with often surprisingly good results.

Our enthusiasm, however, in patients with BUN values greater than 100 mg/100 ml has not paralleled that of Drs. Dine and Shuster as pyelographic detail with nonopaque filling defects is best demonstrated with retrograde pyelograms in our hands. . . . [Full Text PDF of this Article]

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