Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998
Diehl and colleagues1 have contributed to our understanding of biliary pancreatitis by demonstrating that gallbladders removed from patients who had biliary pancreatitis were more likely to contain at least 1 gallstone smaller than 5 mm in diameter, which will be referred to as a small gallstone, than those from patients who had uncomplicated biliary pain (85% vs 46%, respectively). The authors concluded that watchful waiting is inappropriate when treating patients with small gallstones who have had a single attack of uncomplicated biliary pain because of a perceived unacceptable risk for future pancreatitis. I question whether their results support this conclusion.
Cohen ME. Gallstone Size and Risk for Pancreatitis. Arch Intern Med. 1998;158(5):543-544. doi: