ACTA MEDICA, Vol 65 No 4 (2022), 153–157
Gallstone Ileus in Octogenarians: Is Cholecystectomy Really Needed?
Nikolaos Koliakos, Dimitrios Papaconstantinou, Andrianos Serafeim Tzortzis, Efstratios Kofopoulos-Lymperis, Anargyros Bakopoulos, Konstantinos Nastos, Evangelos P. Misiakos, Emmanouil Pikoulis
zveřejněno: 16. 03. 2023
Gallstone ileus is an uncommon complication of cholelithiasis and occurs when a gallstone migrates through a cholecystoenteric fistula and impacts within the gastrointestinal tract. Surgical intervention remains the treatment of choice, which consists of a full-thickness incision of the visceral wall and removal of the impacted gallstone. In this paper we present the treatment approach of 6 cases of gallstone ileus in octogenarians. In our cohort, intestinal obstruction was resolved through an enterotomy or gastrotomy and lithotomy/stone extraction in every patient. No cholecystectomies were undertaken. Despite the fact that gallstone ileus is diagnosed in small percent of patients suffering from gallstone disease, it accounts for a large proportion of intestine obstruction in patients older than 65 years old. Since accurate diagnosis and timely intervention are vital, providers should be familiar with the diagnostic approach and the treatment of this clinical entity.
klíčová slova: gallstone ileus; bowel obstruction; intestinal obstruction; treatment
Gallstone Ileus in Octogenarians: Is Cholecystectomy Really Needed? is licensed under a Creative Commons Attribution 4.0 International License.
210 x 297 mm
vychází: 4 x ročně
cena tištěného čísla: 150 Kč