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September 3, 1955


Author Affiliations

Wilmington, Del.

JAMA. 1955;159(1):17-21. doi:10.1001/jama.1955.02960180019004

Unsatisfactory results of cholecystectomy for noncalculous cholecystitis are a frequent occurrence. Errors in diagnosis and incomplete surgical procedures are believed to be the cause of some of these failures. The purpose of this report is to discuss surgical methods for improving the results of treatment of noncalculous biliary tract disease. Cole1 reports that 50% of gallbladders removed in the United States are noncalculous. Maingot2 states that less than 25% of patients are free of symptoms after cholecystectomy for noncalculous gallbladder disease. Snodgrass3 found 64% poor surgical results in this group. Bockus4 says that colic occurs in one-third of patients with symptoms due to chronic cholecystitis without stones. Presuming these estimates are relatively accurate, one is impressed by the large number of patients who are chronically ill from noncalculous biliary tract disease or are disabled by pain after removal of their gallbladder.

A regrettable tendency to teach

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