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19 wrz 2022 · Although the treatment and management of gallstone ileus are still under controversy, the main therapeutic goal is the extraction of the offending stone after resuscitation. Gallstone ileus involves 3 key elements: cholelithiasis, biliary-enteric fistula, and intestinal obstruction.
1 sty 2016 · According to different authors, enterolithotomy alone is the best option for most patients with gallstone ileus. The one-stage procedure should be offered only to highly selected patients with absolute indications for biliary surgery at the time of presentation and who have been adequately reanimated[7,11,16,31,36,53].
20 sie 2021 · If gallstone signs and symptoms occur in the future, you can have treatment. Treatment options for gallstones include: Surgery to remove the gallbladder (cholecystectomy). Your doctor may recommend surgery to remove your gallbladder, since gallstones frequently recur.
26 sie 2022 · The mainstay of treatment is removal of the obstructing stone after resuscitating the patient. Gallstone ileus continues to be associated with relatively high rates of morbidity and mortality. Other causes of intestinal obstruction are discussed elsewhere.
In the treatment approach for cases of gallstone ileus, selection of surgical method should be based on the impaction site. Two-stage surgery is recommended for cases with impaction at the level of the small intestine, while one-stage surgery is recommended for cases with impaction at other sites.
21 lip 2024 · Gallstone ileus is an uncommon cause of mechanical small bowel obstruction. It is a rare complication of chronic cholecystitis 7 and occurs when a gallstone passes through a fistula between the gallbladder and small bowel before becoming impacted at the ileocecal valve.
17 wrz 2019 · The preferred treatment option is to mechanically remove the impacted stones. It is done surgically using open or laparoscopic approach and rarely, when stones are impacted in the colon, endoscopically. In this paper we present five consecutive cases of gallstone ileus and describe possible diagnostic and minimally invasive treatment options.
