0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

IRRITABLE COLON AND GALLBLADDER DISEASE

Elmer W. Heffernon, M.D.; William A. Millhon, M.D.; Sidney W. Rosen, M.D.
JAMA. 1960;173(1):1-5. doi:10.1001/jama.1960.03020190003001.
Text Size: A A A
Published online

In an effort to determine the relation between demonstrable disease of the biliary tract and persistent symptoms of colonic dysfunction, the records of 300 patients were reviewed. The group consisted of 294 patients in whom gallbladder disease was found at operation and 6 in whom it was demonstrated at autopsy. The predominant symptom was abdominal pain. It was located in the right upper quadrant in 81, radiated to the back in 25, and extended to the right shoulder in 10. It was true biliary colic in only 156 cases. Thirteen patients were asymptomatic. There were 140 patients with multiple gastrointestinal symptoms characteristic of irritable colon. The evidence is interpreted to mean that the postcholecystectomy syndrome and related disorders are frequently part of the irritable colon problem and that good results cannot be expected from surgery unless it is supplemented by dietary measures.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();