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Article
August 1913

PANCREATIC INSUFFICIENCY

Am J Dis Child. 1913;VI(2):65-74. doi:10.1001/archpedi.1913.04100320002001
Abstract

A severe indigestion of acute onset and protracted course, characterized by the evacuation of bulky, pale-gray, greasy stools, occurs fairly often in early childhood. Marked wasting is a feature, as is the occurrence of periods of amelioration during the earlier months of the affection. The stools invariably contain a large amount of wasted fat which is excreted unsplit, and in the graver examples of the disease starches are passed undigested, and sometimes proteins even escape digestive action.

English writers have called this symptom group "Coeliac disease." Robert Hutchison has written a lucid clinical description of it, and in his paper he quotes opinions of Cheadle, Gee and Gibbons on the subject. Eustace Smith has also considered this symptom-complex at length in his lectures on "The Wasting Diseases of Children." The English writers seem inclined to attribute the fat waste to an unexplained diminution in the fat-absorbing powers of the celiac

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