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EDITOR,--In their review on the treatment of gall stones N Tait and J M Little are unnecessarily dismissive of treatments other than surgery.1 They are perhaps being deliberately provocative when suggesting that such treatments are for patients who are dissatisfied with the outcome of alternative (previously defined by the authors as "folk," herbal, or naturopathic) treatments.
We believe that the personal preference of the patient is an important consideration. Some patients prefer the quick and definitive answer of an operation, whereas others are unable to accept the necessary time off work, are afraid of surgical treatment, or prefer to avoid a scar for cosmetic reasons. Many are grateful to have the option of safe, pain free oral treatment in the form of bile acids.
While the authors point out that treatment to dissolve gall stones has a failure rate of 50%, they fail to
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