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Gallstone ileus – the diagnostic and therapeutic challenge


Authors: Tomáš Paseka;  Václav Jedlička;  Jan Žák
Authors place of work: I. chirurgická klinika LF MU a Fakultní emocnice U sv. Anny v Brně
Published in the journal: Čas. Lék. čes. 2010; 149: 340-343
Category: Kazuistika

Summary

Gallstone ileus as a complication of gallstone disease is a diagnostic as well as therapeutic challenge. Its development is frequently sneaking, so correct diagnosis and surgical therapy is often delayed. Thus morbidity and mortality is high. Concrement extraction by open enterotomy is a therapeutic choice. The discussed issue is if one-stage cholecystectomy and fistula closure should be done too. The paper presents a female patient with gallstone ileus treated with open enterotomy only, with no postoperative complication. The literature review follows. Authors conclude that one-stage procedure, if feasible, is acceptable method for the low risk patients.

Key words:
gallstone ileus, biliary ileus, enterobiliary fistula, gallstone disease, Bouveret’s syndrome.


Zdroje

1. Okolicány R, Prochotský A, Skultéty J, Sekác J, Mifkovic A. Biliary ileus –2 potential complication of cholecystolithiasis. Rozhl Chir 2008; 87(11): 571–575.

2. Gasparrini M, Liverani A, Catracchia V, Conte S, Leonardo G, Marino G, Milillo A, Mari FS, Pezzatini M, Favi F. Gallstone ileus: a case report and review of the literature. Chir Ital 2008; 60(5): 755–759.

3. Costi R, Randone B, Violi V, Scatton O, Sarli L, Soubrane O, Dousset B, Montariol T. Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepatobiliary Pancreat Surg 2009; 16(1): 8–18.

4. Šimůnek R, Bohatá S, Kala Z. Bouveret‘s syndrome – a rare case of proximal ileus of biliary etiology. Rozhl Chir 009; 88(3): 119–122.

5. Yu CY, Lin CC, Shyu RY, Hsieh CB, Wu HS, Tyan YS, Hwang JI, Liou CH, Chang WC, Chen CY. Related Articles, Value of CT in the diagnosis and management of gallstone ileus. World J Gastroenterol 2005; 11(14): 2142–2147.

6. Schiemann U, Dayyani V, Müller-Lisse UG, Siebeck M. Aerobilia as an initial sign of a cholecystoduodenal fistula – a case report. MMW Fortschr Med 2004; 146(35–36): 39–40.

7. Lakyová L, Radonak J, Vajó J, Toncr I, Kudlác M. Biliárny ileus – zriedkavá komplikácia cholecystolitiázy. Rozhl Chir 2007; 86(10): 526–532.

8. Owera A, Low J, Ammori BJ. Laparoscopic enterolithotomy for gallstone ileus. Surg Laparosc Endosc Percutan Tech 2008; 18(5): 450–452.

9. Guňková P, Dostalík J, Martínek L, Guňka I, Vávra P, Richter V, Mazur M. Biliární ileus – opomíjená příčina střevní obstrukce. Rozhl Chir 2007; 86(2): 103–105.

10. Franklin ME Jr, Dorman JP, Schuessler WW. Laparoscopic treatment of gallstone ileus: a case report and review of the literature. J Laparoendosc Surg 1994; 4(4): 265–272.

11. Murray EL, Collie M, Hamer-Hodges DW. Colonoscopic treatment of gallstone ileus. Endoscopy 2006; 38(2): 197.

12. Farooq A, Memon B, Memon MA. Resolution of gallstone ileus with spontaneous evacuation of gallstone. Emerg Radiol 2007; 14(6): 421–423.

13. Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg 994; 60(6): 441–446.

14. Martínez Ramos D, Daroca José JM, Escrig Sos J, Paiva Coronel G, Alcalde Sánchez M, Salvador Sanchís JL. Gallstone ileus: management options and results on a series of 40 patients. Rev Esp Enferm Dig 2009; 101(2): 117–120, 121–124.

15. Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg 2007; 31(6): 1292–1297.

16. Riaz N, Khan MR, Tayeb M. Gallstone ileus: retrospective review of a single centre‘s experience using two surgical procedures. Singapore Med J 2008; 49(8): 624–626.

17. Muthukumarasamy G, Venkata SP, Shaikh IA, Somani BK, Ravindran R. Gallstone ileus: surgical strategies and clinical outcome. J Dig Dis 2008; 9(3): 156–161.

18. Ravikumar R, Williams JG. The operative management of gallstone ileus. Ann R Coll Surg Engl 010; 92(4): 279–281.

19. Pavlidis TE, Atmatzidis KS, Papaziogas BT, Papaziogas TB. Management of gallstone ileus. J Hepatobiliary Pancreat Surg 2003; 10(4): 299–302.

20. Zuegel N, Hehl A, Lindemann F, Witte J. Advantages of one-stage repair in case of gallstone ileus. Hepatogastroenterology 1997; 44(13): 59–62.

21. Tan YM, Wong WK, Ooi LL. A comparison of two surgical strategies for the emergency treatment of gallstone ileus. Singapore Med J 2004; 45(2): 69–72.

22. Pafko P, et al. Náhlé příhody břišní – operační manuál. Praha: Grada Publishing 2006.

Štítky
Adiktológia Alergológia a imunológia Angiológia Audiológia a foniatria Biochémia Dermatológia Detská gastroenterológia Detská chirurgia Detská kardiológia Detská neurológia Detská otorinolaryngológia Detská psychiatria Detská reumatológia Diabetológia Farmácia Chirurgia cievna Algeziológia Dentální hygienistka

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