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May 9, 1953


JAMA. 1953;152(2):180. doi:10.1001/jama.1953.03690020072014

Surgical Diseases of Gallbladder and Bile Ducts.  —Drs. D. Espinoza Vega and C. Bustamante Pérez reviewed hospital records to ascertain the incidence of surgical diseases of the gallbladder and the bile ducts in certain regions of Ecuador. Dr. Espinoza Vega observed patients in Guayaquil, the most important and typically tropical city on the coast of Ecuador. In the last 10 years, he observed 175,293 hospitalized patients in the Luis Vernaza Hospital, of whom 12,743 (7.27%) had surgical diseases of the gallbladder and/or the bile ducts. Lithiasis was the most frequent disease, affecting about 90%. Next in order of frequency were parasitosis of the bile ducts and neoplasias, in 1% and 0.66%, respectively. Eighty-one per cent of the patients were women. Dr. Bustamante Pérez observed 12,714 patients in the Eugenio Espejo Hospital of Quito, a city in the mountains 2,819 m. above sea level. Out of this number, 825 (6.5%) had

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