FITZGERALD O, FITZGERALD P, FENNELLY J, MCMULLIN J P, BOLAND S J
Gut. 1963 Sep;4(3):193-216. doi: 10.1136/gut.4.3.193.
A series of 53 cases of chronic pancreatic disease is described and attention drawn to the frequency with which symptoms are persistent rather than intermittent. A plea is made for the use of the term ;progressive' rather than ;relapsing' in describing many of these cases. Alcohol was an unimportant factor in the aetiology. The possibility of achieving an accurate and early diagnosis using the serum secretin/pancreozymin test is emphasized. The frequent relief of symptoms and the prevention of progress of the disease by surgery, especially sphincterotomy, is recorded.
本文描述了53例慢性胰腺疾病病例,并指出症状持续而非间歇性发作的频率较高。文中呼吁在描述其中许多病例时使用“进行性”而非“复发性”这一术语。酒精在病因学中并非重要因素。强调了使用血清促胰液素/胰酶泌素试验进行准确早期诊断的可能性。记录了手术,尤其是括约肌切开术,对症状的频繁缓解以及疾病进展的预防作用。