ALFRED L. BAKER, M.D.; MARSHALL M. KAPLAN, M.D.; RICHARD A. NORTON, M.D.; JAMES F. PATTERSON, M.D.
To the editor: The increased prevalence of gallstones in patients with diseases of the terminal ileum is consistent with the current concept of cholesterol gallstone formation. Since the diseased ileum cannot reabsorb conjugated bile salts normally, there is a chronic loss of bile salts in the stool, a decreased body pool of bile salts, and subsequent secretion of a lithogenic bile (1-3). We now report an increased prevalence of gallstones in patients with ulcerative proctitis, a disease not known to interfere with bile salt metabolism and one not previously associated with gallstones.
Thirty consecutive patients with ulcerative proctitis seen at
ALFRED L. BAKER, MARSHALL M. KAPLAN, RICHARD A. NORTON, JAMES F. PATTERSON. Gallstones with Ulcerative Proctitis. Ann Intern Med. 1974;80:552–553. doi: 10.7326/0003-4819-80-4-552
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Published: Ann Intern Med. 1974;80(4):552-553.
Biliary Disorders, Gastroenterology/Hepatology.
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