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
Learn more about subscription options.
Register Now for a free account.
BAKER AL, KAPLAN MM, NORTON RA, PATTERSON JF. Gallstones with Ulcerative Proctitis. Ann Intern Med. 1974;80:552-553. doi: 10.7326/0003-4819-80-4-552
Download citation file:
Published: Ann Intern Med. 1974;80(4):552-553.
Biliary Disorders, Gastroenterology/Hepatology.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only