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Article
July 1, 1911

CHRONIC PANCREATITIS IN ASSOCIATION WITH GALL-STONE DISEASE

Author Affiliations

PHILADELPHIA

JAMA. 1911;LVII(1):11-15. doi:10.1001/jama.1911.04260070015003
Abstract

It is now well known, particularly among surgeons, that in close association of the pancreas and its ducts with the common bile-duct we have an arrangement which is responsible for many cases of pancreatic disease. Recently I have collected the reports of seventythree of my own cases of chronic pancreatitis in which I have verified the diagnosis at operation. Of these, fortyseven (65 per cent.) showed demonstrable disease of the gall-bladder or biliary ducts. Thirty-five, or approximately one-half, had gall-stones at the time of operation. Mayo found gall-stones in 81 per cent, of his cases of pancreatitis and Robson asserts that pancreatitis is associated with stones in the common bile-duct in about 60 per cent, of all cases. From these and similar observations it has become evident, first, that pancreatic disease is far more common than has hitherto been supposed, and, secondly, that a potent cause of pancreatic inflammation is

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