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Article
December 1953

RECURRING PANCREATITIS AND ASSOCIATED STENOSIS OF THE COMMON BILE DUCTTreatment by Roux-Y Choledochojejunostomy

Author Affiliations

PHILADELPHIA
From Jefferson Medical College and the Pennsylvania Hospital.

AMA Arch Surg. 1953;67(6):779-789. doi:10.1001/archsurg.1953.01260040792001
Abstract

THE DIAGNOSIS of various phases of pancreatitis and their proper management have been long-recognized problems.1 Little has been added to the description of the clinical features of the acute disease since that of Fitz in 1889.2 These features are sufficiently characteristic in the acute and severe episodes of pancreatitis to generally permit reliable diagnosis. The less severe forms of the disease were, and are, frequently not recognized. Only since confirmatory laboratory tests have been readily available3 has the frequency of pancreatitis become generally recognized. The severe forms of the disease as originally described by Fitz, and generally considered typical, are the fulminating episodes of pancreatitis. Less severe inflammatory reaction within the pancreas produces upper abdominal pain, various gastrointestinal symptoms, and no reliably detectable changes in the blood constituents or gastrointestinal secretions. The anatomical location of the gland, laboratory tests of function that indicate only extensive changes, and

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