A. I. FRIEDMAN, M.D.
The finding of a pathologic gall-bladder following roentgen examination has as a rule been sufficient reason for surgical intervention to relieve the patient's gastrointestinal complaints. Although removal of the diseased viscus is usually indicated, the presence of cholelithiasis or a nonvisualizing gall-bladder does not necessarily imply that the patient's symptoms are due to gall-bladder disease. The high incidence of the silent, calculous gall-bladder has been very well documented: at least 10% of a large series of patients with calculous gall-bladder were asymptomatic.1 Occasionally, symptoms that persist following cholecystectomy are attributed to biliary dyskinesia when the intravenous cholecystogram is negative, or
FRIEDMAN AI. PEPTIC ESOPHAGITIS SIMULATING THE "POSTCHOLECYSTECTOMY SYNDROME"1. Ann Intern Med. ;49:120–129. doi: 10.7326/0003-4819-49-1-120
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Published: Ann Intern Med. 1958;49(1):120-129.
Biliary Disorders, Esophageal Disorders, Gastroenterology/Hepatology, Peptic Disease, Peptic Ulcer.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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