In four cases of pancreatitis the etiology could not be determined by any of the accepted diagnostic measures. Only at exploration could associated biliary tract disease be demonstrated. Aspiration of bile during operation for detecting tiny stones was important. Common entrance of pancreatic and bile ducts was demonstrated in all four cases. Prompt treatment of biliary tract disease prevented the recurrence of attacks during follow-up of 18 to 30 months.
Pfefferman R, Luttwak EM. Gallstone Pancreatitis. Arch Surg. 1971;103(4):484–486. doi:10.1001/archsurg.1971.01350100078014
Surgery in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.