Biliary ileus: review of the literature and presentation of 7 cases

The authors report 7 cases of gallstone ileus out of 452 intestinal obstructions corresponding to an incidence of 0.04%. The late references on the subject show that gallstone ileus is an unusual condition which gives rise to surgical approach problems and operating mortality since it is a typical s...

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Published inAnnali italiani di chirurgia Vol. 60; no. 4; p. 309
Main Authors Cicconi, M, Mestichelli, A, Sabatini, D, Perotti, P
Format Journal Article
LanguageItalian
Published Italy 01.07.1989
Subjects
Aged
Aged, 80 and over
Biliary Fistula - complications
Biliary Fistula - surgery
Cholelithiasis - complications
Cholelithiasis - surgery
Female
Humans
Intestinal Fistula - complications
Intestinal Fistula - surgery
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Male
Middle Aged
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Summary:The authors report 7 cases of gallstone ileus out of 452 intestinal obstructions corresponding to an incidence of 0.04%. The late references on the subject show that gallstone ileus is an unusual condition which gives rise to surgical approach problems and operating mortality since it is a typical seniors' disease. Some Authors support the "one stage" repair for cholecystoduodenal fistula and gallstone ileus, whereas others suggest firstly to resolve the gallstone ileus with the enterolithotomy and then to perform the operation for gallstone disease. The authors treated six cases with the enterolithotomy and one case with the "one stage" procedure, both the treatments were successful as all the patients survived even if affected by easily controlled complications.
ISSN:0003-469X