“…After a number of years the supervention of wasting or diarrhoea, or the discovery of glycosuria indicates the true nature of the disorder. Recurrent mild pancreatitis leading to fibrosis may be a complication of that rare familial disorder hypercholesterolaemia (Klatskin and Gordon, 1952; Comfort and Steinberg, 1952) or of cholelithiasis (Saint and Weiden, 1953). Attacks of pancreatitis may continue to occur after calculi have been removed in patients with cholelithiasis, indicating that other causes of recurring necrosis than regurgitation of bile, such as ischaemia due to arteriosclerosis of the pancreatic vessels, must be postulated.…”