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July 17, 1937

THE STONELESS GALLBLADDER: AN ANALYSIS OF ONE HUNDRED CASES TREATED BY CHOLECYSTECTOMY

Author Affiliations

IOWA CITY

From the Surgical Service of the University Hospitals, State University of Iowa College of Medicine.

JAMA. 1937;109(3):183-187. doi:10.1001/jama.1937.02780290005002
Abstract

During the past few years a number of articles have appeared in the literature in regard to the noncalculous gallbladder and the less satisfactory results following cholecystectomy in this type of case.1 Since the advent of cholecystography, the diagnosis of chronic cholecystitis has become much more common and there has come about a gradual acceptance of a broader symptomatology in gallbladder disease. These newer symptoms are supposed to be associated with disturbances in the function of the gallbladder and include gaseous indigestion, inability to digest fatty or greasy foods, belching, distention, vomiting and flatulence. It is largely through the acceptance of this "dyspepsia syndrome" in gallbladder disease that the problem of the stoneless gallbladder has arisen.

The present study is based on a follow up of 100 consecutive cases of cholecystectomy carried out on stoneless gallbladders in this clinic during the eight year period between March 1, 1927, and

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