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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.
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.
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.
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.
13 maj 2024 · The approach to the management of patients with gallstones depends upon the patient's symptoms, imaging test findings, and whether complications are present. This topic will review the approach to the patient with uncomplicated gallstones.
15 mar 2020 · Gallstone ileus is an uncommon complication of gallstones and a rare cause of intestinal obstruction. Typically as a result of the formation of cholecystoduodenal fistula, surgical removal of the gallstone is the mainstay of treatment in order to relieve the intestinal obstruction.
This paper describes a treatment approach for gallstone ileus based on findings of current reports. EpIdEmIology. Gallstone ileus occurs in 0.15%–1.5% of cholelithiasis cases and <0.1% of ileus cases overall,1 5 and the recurrence rate is 5%–8%.6. pathogEnEsIs.
