Saint’s triad (hiatus hernia, gall stones and diverticulosis coli): the problem of properly directing surgical therapy
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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
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