Saint’s triad (hiatus hernia, gall stones and diverticulosis coli): the problem of properly directing surgical therapy
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.
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.
KeywordsHiatus Hernia Diverticulitis Gall Bladder Disease Gall Stone Recurrent Diverticulitis
- 1.Berardinelli, W.: Tríad de Saint. Med. cir. farm. (Rio), No. 195, 301, 1952.Google Scholar
- 2.Boyd, D. P. and Classen, J. N.: The surgical treatment of diaphragmatic hernia. Surg. Clin. N. Am.,31, 813, 1951.Google Scholar
- 3.Brombart, M., Goutkine, J. and Laurent, Y.: Les protrusions gastriques à travers l’hiatus oesophagien. Acta gastroenterol.,13, 221, 1950.Google Scholar
- 5.Delannoy, E., Lantsoght, and Devambez, J.: Hernie diaphragmatique, cholélithiase et diverticulose colique (Triad de Saint). Arch mal. app. digest.,42, 82, 1953.Google Scholar
- 6.Gilbert, N. C., Dey, F. L. and Rall, J. E.: Recurrent hiatus hernia. J. A. M. A.,132, 132, 1946.Google Scholar
- 7.Hafter, E.: Die Hiatushernie als differentialdiagnostisches Problem. Schweiz. med. Wchnschr.,84, 226, 1954.Google Scholar
- 9.Muller, C. J. B.: Hiatus hernia, diverticula and gall stones: Saint’s triad. South African M. J.,22, 376, 1948.Google Scholar
- 11.Radloff, F. F. and King, R. L.: Esophageal hiatus hernia. Gastroenterology,9, 249, 1947.Google Scholar