Summary
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1.
Routine clinical investigation of 170 adult patients with hiatus hernia revealed that 24 (14%) also had gall stones and diverticulosis coli (Saint’s triad). Comparison of this figure with information compiled from the literature suggests that, when a hiatus hernia patient is found to have either gall stones or diverticulosis, there is an excellent chance that the third disease is also present.
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2.
The therapeutic enigma of Saint’s triad in the present series revolved largely about non-critical assumption that it was the gall bladder disease which was responsible for the patient’s illness. The symptomatic results of cholecystectomy were notably poor.
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Palmer, E.D. Saint’s triad (hiatus hernia, gall stones and diverticulosis coli): the problem of properly directing surgical therapy. Amer. Jour. Dig. Dis. 22, 314–315 (1955). https://doi.org/10.1007/BF02886494
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DOI: https://doi.org/10.1007/BF02886494