Letters and Corrections1 December 1987Asymptomatic Gallstones in Diabetic PersonsDAVID HOCH, M.D., BETH SCHORR-LESNICK, M.D., PAUL MARANTZ, M.D., M.P.H.DAVID HOCH, M.D.Search for more papers by this author, BETH SCHORR-LESNICK, M.D.Search for more papers by this author, PAUL MARANTZ, M.D., M.P.H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-6-942_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Ransohoff and colleagues (1) have provided an interesting reexamination of the clinical dogma that surgery should be considered for diabetic patients with asymptomatic gallstones. There is, however, a methodologic problem we feel should be addressed before this approach is abandoned.To arrive at the final sample of 311 patients, 1978 charts were reviewed. Among the exclusion criteria was acute pancreatitis, accounting for 87 patients. No rationale was given for this exclusion, and if there is a relation between development of pancreatitis and diabetes, this could lead to significant confounding.The importance of this factor can be examined...Reference1. RANSOHOFFMILLERFORSYTHEHERMANN DGSR. Outcome of acute cholecystitis in patients with diabetes mellitus. Ann Intern Med. 1987;106:829-32. LinkGoogle Scholar1. RANSOHOFFMILLERFORSYTHEHERMAN DGSR. Outcome of acute cholecystitis in patients with diabetes mellitus. Ann Intern Med. 1987;106:829-32. LinkGoogle Scholar2. TANWARREN EK. Diseases of the gallbladder and bile ducts. In: SCHIFF L, SCHIFF ER, eds. Diseases of the Liver. Philadelphia: J.B. Lippincott Company; 1982:1507-59. Google Scholar3. SOLOWAY R. Asymptomatic gallstones. In: WYNGAARDEN JB, SMITH LH JR. Cecil Textbook of Medicine. 17th ed. Philadelphia: W.B. Saunders Company; 1985:855. Google Scholar4. FROMMBAZZOLI HF. Medical dissolution of cholesterol gallstones. In: COHEN S, SOLOWAY RD, eds. Gallstones. New York: Churchill Livingstone: 1985:167-78. Google Scholar5. SOERGEL K. Acute pancreatitis. In: SLEISENGER MH, FORDTRAN JS, eds. Gastrointestinal Disease. Philadelphia: W.B. Saunders Company, 1983:1462-85. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Montefiore Medical Center Bronx, NY 10467 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 December 1987Volume 107, Issue 6Page: 942-942KeywordsAcute pancreatitisChartsPancreatitisSurgery Issue Published: 1 December 1987 PDF DownloadLoading ...