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MANAGEMENT OF ACUTE DISORDERS OF THE BILIARY TRACT

William D. Holden, M.D.; Frank A. Cebul, M.D.; Charles W. Loughry, M.D.
JAMA. 1952;148(11):879-884. doi:10.1001/jama.1952.02930110001001.
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Two years ago, Ogilvie,1 in an address to the Western Surgical Association, stated that he had never seen a case of acute cholecystitis in which the gallbladder burst, nor had he heard of one in the wards of the hospital in which he had worked for 40 years. This is a rather striking statement from a surgeon with his experience, and it was used as part of his criticism of early cholecystectomy for acute cholecystitis.

There is no doubt that there has been a tremendous interest in this subject among the members of the medical profession in this country during the last 20 years. A good number of surgeons have advocated early operation in acute cholecystitis and have presented statistical data to corroborate and implement their proposal. This has provoked but a small amount of criticism. It becomes important to determine, now that several years have elapsed since early cholecystectomy

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