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Dr. Attila Nakeeb (Milwaukee, Wisconsin): Thank you, Dr. Dr. and Carey. Townsend and the Association, for the opportunity to present our work. I’d like to thank every one of the discussants for his or her insightful remarks. I’ll address Dr. Schirmer’s question first in conditions of the procedural aspect of our study. We excluded all patients who lost higher than 10% of their weight within the last year to get rid of that bias in both the family and the Association study.
In conditions of Dr. Lillemoe’s question, is the phenomenon gender specific? The answer is, no, it is not. We have seen similar boosts in family history prevalence data in both males and the females. Unfortunately our people again was heavily skewed to females because they were the ones who took care of immediately our study studies and would come in for the tests that were required.
However, in the percentage of men who did, we were able to investigate that there was similar genealogy data in conditions of prevalence rates. In sorting out the hereditary versus environmental factors, it is a bit more complicated. Again, one of the restrictions of the scholarly study is that it is survey data fundamentally taking a look at symptomatic gallbladder disease. There is absolutely no real way to differentiate between cholesterol and pigment gallstones. We realize at least in the obese population that cholesterol gallstones are more common. They take into account 75% of all the gallbladder disease in this country.