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October 1976

Gallstone Pancreatitis: Exploration of the Biliary System in Acute and Recurrent Pancreatitis

Author Affiliations

From the Department of Surgery B, Hadassah University Hospital, Jerusalem, Israel.

Arch Surg. 1976;111(10):1106-1107. doi:10.1001/archsurg.1976.01360280064010

• During a five-year period, 82 patients were treated for acute pancreatitis, 63 of whom were proved to have associated biliary tract disease. In 18 of the 63, the accepted preoperative diagnostic measures failed to demonstrate pathologic findings in the biliary system. In 16 of the 18 patients, stones were discovered at the time of operation, although in five they were so small as to be demonstrable only by filtering the aspirated bile through gauze. In the two of the 18 without stones, acalculous cholecystitis was present. In 14 patients the ductus choledochus and the pancreatic duct had a common path. All patients had no further pancreatitis two to eight years after cholecystectomy. In Israel, where alcoholism is rare, three fourths of the cases of acute pancreatitis are associated with gallbladder disease.

(Arch Surg 111: 1106-1107, 1976)

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