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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.
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.
17 wrz 2019 · Background: Gallstone or biliary ileus is a late complication of gallstone disease. It accounts for 1%–4% of all bowel obstructions and is more common in elderly patients. The preferred treatment option is to mechanically remove the impacted stones.
27 sty 2016 · Surgical relief of gastrointestinal obstruction remains the mainstay of operative treatment. The current surgical procedures are: (1) simple enterolithotomy; (2) enterolithotomy, cholecystectomy and fistula closure (one-stage procedure); and (3) enterolithotomy with cholecystectomy performed later (two-stage procedure).
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.
pathogEnEsIs. In patients with gallstone ileus, the gallstones are usually eliminated via an internal biliary fistula. In majority of cases (75%–83%), the elimination route is from the gallbladder to the duodenum.
