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A CLINICAL STUDY

ROBERT ELMAN, M.D.; NORMAN ARNESON, M.D.; EVARTS A. GRAHAM, M.D.

Arch Surg. 1929;19(6):943-967.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The clinical diagnosis of disease of the pancreas¹ has always been fraught with great difficulty. Whether one is dealing with the dramatic suddenness of an acute hemorrhagic pancreatitis, the silent jaundice in carcinoma at the head of the pancreas, the variable and indefinite symptomatology of chronic pancreatitis or the insidiously developing pancreatic cyst, a large proportion of pancreatic lesions remain unrecognized clinically and are first diagnosed at laparotomy or at postmortem examination. This is not because the pancreas is so rarely the seat of disease, for it is diseased far more frequently than is generally supposed. Among the 60,000 patients admitted to Barnes Hospital but 150, or 0.25 per cent of the cases, bore a diagnosis of pancreatic disease of one kind or another, exclusive of diabetes mellitus, while among the last 3,600 autopsies performed at the Washington University School of Medicine, gross or microscopic lesions of the acinar . . . [Full Text PDF of this Article]

Author Affiliations
ST. LOUIS

From the Department of Surgery, Washington University School of Medicine, and Barnes Hospital.

Footnotes
Submitted for publication, June 20, 1929.

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