DUODENAL ILEUS

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Abstract
One of the phases of chronic duodenal ileus which has attracted particular attention is the relation between it and the function of the biliary tract. Every clinical description of duodenal ileus includes, as one of its frequent manifestations, a symptom complex which simulates disease of the gallbladder.1 Epigastric distress coming on shortly after meals, pain in the right hypochondrium with scapular radiation, eructation and even jaundice have been described either with or without organic changes in the biliary tract.2 Orndoff3 suggested a relationship between the disturbances of duodenal motility so frequently seen in pregnancy and the cholecystic symptoms and disease which may attend and follow it. Duodenal ileus is said in some way to render the biliary tract more liable to infection.4 Wheelon5 found an involvement of the biliary structures in 75 per cent of seventy-four patients with duodenal ileus. A cholecystitis had developed in

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