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January 24, 1959, Vol 169, No. 4 >
ARTICLE | January 24, 1959

ASSOCIATION OF CHOLELITHIASIS, HIATUS HERNIA, AND DIVERTICULOSIS COLI

James J. Foster, M.D.
JAMA. 1959;169(4):409. doi:10.1001/jama.1959.03000210102019.
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ABSTRACT

To the Editor:—  I am pleased that doctors van der Linden and Taube have critically analyzed our figures and believe that their statements are well worth publishing. Our study was not primarily oriented to statistics but designed rather to alert clinicians as to the frequency of the triple association. To further amplify our viewpoint, I shall comment on the salient points raised in the critique.A series of cases studied by x-ray could not readily be obtained outside a clinic or hospital population. The approximate 15% asymptomatic patients with the triad would not heavily weight a nonhospital population in favor of chance. The incidence of the respective single conditions in our series is not significantly greater than those of any other report. Hence, the probability value obtained by multiplication of the percentages should be acceptable. The 713 patients having all three roentgenographic studies happened to fall in this category on

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