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IRRITABLE COLON AND GALLBLADDER DISEASE

IRRITABLE COLON AND GALLBLADDER DISEASE In an effort to determine the relation between demonstrable disease of the biliary tract and persistent symptoms of colonic dysfunction, the records of 300 patients were reviewed. The group consisted of 294 patients in whom gallbladder disease was found at operation and 6 in whom it was demonstrated at autopsy. The predominant symptom was abdominal pain. It was located in the right upper quadrant in 81, radiated to the back in 25, and extended to the right shoulder in 10. It was true biliary colic in only 156 cases. Thirteen patients were asymptomatic. There were 140 patients with multiple gastrointestinal symptoms characteristic of irritable colon. The evidence is interpreted to mean that the postcholecystectomy syndrome and related disorders are frequently part of the irritable colon problem and that good results cannot be expected from surgery unless it is supplemented by dietary measures. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

IRRITABLE COLON AND GALLBLADDER DISEASE

JAMA , Volume 173 (1) – May 7, 1960

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1960.03020190003001
Publisher site
See Article on Publisher Site

Abstract

In an effort to determine the relation between demonstrable disease of the biliary tract and persistent symptoms of colonic dysfunction, the records of 300 patients were reviewed. The group consisted of 294 patients in whom gallbladder disease was found at operation and 6 in whom it was demonstrated at autopsy. The predominant symptom was abdominal pain. It was located in the right upper quadrant in 81, radiated to the back in 25, and extended to the right shoulder in 10. It was true biliary colic in only 156 cases. Thirteen patients were asymptomatic. There were 140 patients with multiple gastrointestinal symptoms characteristic of irritable colon. The evidence is interpreted to mean that the postcholecystectomy syndrome and related disorders are frequently part of the irritable colon problem and that good results cannot be expected from surgery unless it is supplemented by dietary measures.

Journal

JAMAAmerican Medical Association

Published: May 7, 1960

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