Boecker W, Bergis K
Med Klin. 1975 May 23;70(21):947-9.
An anamnestic questionnaire project at a hospital for gastroenterological diseases has proved, that in 100 patients cholelithiasis after a cholecystectomy was not diagnosed at first. In more than two thirds of the preliminary diagnoses (69.8 p.c.) stomach was concerned. The therapy required in these cases took 7.9 years on an average. Generally it took 12.6 years of complaints from the first symptom until cholecystectomy was performed. Even when cholelithiasis was diagnosed, the operation was not decided upon until 6.8 years had passed on an average. For the most part the patient himself delayed the operation. According to the patients questioned, chronic pancreatitis was the disease most frequent following cholecystectomy. Reasons for errors in diagnosis of epigastric pain are discussed. The undoubted value of early cholecystectomy is emphasized.
一家胃肠病医院开展的一项既往病史问卷调查项目证实，在100例患者中，胆囊切除术后最初未诊断出胆石症。在超过三分之二的初步诊断（69.8%）中涉及胃部。这些病例所需的治疗平均持续7.9年。一般来说，从出现首个症状到进行胆囊切除术，患者抱怨的时间长达12.6年。即使诊断出胆石症，平均也要等6.8年才决定进行手术。大部分情况下是患者自己拖延了手术。根据接受询问的患者所述，慢性胰腺炎是胆囊切除术后最常见的疾病。文中讨论了上腹部疼痛诊断错误的原因。强调了早期胆囊切除术的无疑价值。
