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April 1939

LIVER AND BILIARY TRACTA REVIEW FOR 1938

Author Affiliations

NEW YORK

From the Clinic for the Study of Diseases of the Liver and Biliary Tract of the Department of Medicine and the Department of Surgery of the New York Post-Graduate Medical School and Hospital.

Arch Intern Med (Chic). 1939;63(4):778-808. doi:10.1001/archinte.1939.00180210171011
Abstract

Previous reviews1 in this series have summarized the clinical and experimental studies concerning the physiology of the gallbladder and biliary tract. The present day treatment and medical management of cholecystitis are based on these physiologic concepts. While many clinical papers have appeared during the past year, the majority have been in accord with these ideas and so do not require specific reference at present. The treatment of hepatic disease was summarized by Greene, Handelsman and Babey1c in 1937 and by Snell2 and Boyce3 in 1938 and 1939. Reference may be made to these papers for details. At present we wish to summarize recent publications dealing with the etiology of cholelithiasis and certain of the newer developments within the larger field.

ETIOLOGY OF GALLSTONES  Since the time of Naunyn a mass of clinical and experimental data dealing with gallstones has been accumulated, and a multitude of theories

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