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DISEASES OF THE COMMON BILE DUCT AND THEIR RELATION TO THE GASTROINTESTINAL TRACT

DISEASES OF THE COMMON BILE DUCT AND THEIR RELATION TO THE GASTROINTESTINAL TRACT It is my purpose in this paper to review briefly some of the common disorders affecting the biliary tract and to call special attention to the importance of the role played by chronic pancreatitis. According to Walters and Snell1 two types of chronic pancreatitis are recognized, the interlobular type and the interacinar type. Both are characterized by an increase in fibrous tissue, but in the former the islands of Langerhans are spared, while in the latter they are not. In my experience neither hyperglycemia nor insufficiency of pancreatic secretion (as evidenced by bulky and fatty stools) need be present in cases of chronic pancreatitis that may yet be sufficiently severe to produce symptoms of obstruction of the common duct. SYMPTOMS The commonest symptoms of disease of the common bile duct are pain, nausea, vomiting and eructations of gas. Collectively these phenomena are usually called "indigestion" or dyspepsia. Jaundice may http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

DISEASES OF THE COMMON BILE DUCT AND THEIR RELATION TO THE GASTROINTESTINAL TRACT

JAMA , Volume 116 (3) – Jan 18, 1941

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Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1941.02820030026006
Publisher site
See Article on Publisher Site

Abstract

It is my purpose in this paper to review briefly some of the common disorders affecting the biliary tract and to call special attention to the importance of the role played by chronic pancreatitis. According to Walters and Snell1 two types of chronic pancreatitis are recognized, the interlobular type and the interacinar type. Both are characterized by an increase in fibrous tissue, but in the former the islands of Langerhans are spared, while in the latter they are not. In my experience neither hyperglycemia nor insufficiency of pancreatic secretion (as evidenced by bulky and fatty stools) need be present in cases of chronic pancreatitis that may yet be sufficiently severe to produce symptoms of obstruction of the common duct. SYMPTOMS The commonest symptoms of disease of the common bile duct are pain, nausea, vomiting and eructations of gas. Collectively these phenomena are usually called "indigestion" or dyspepsia. Jaundice may

Journal

JAMAAmerican Medical Association

Published: Jan 18, 1941

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