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Gallstone ileus: a review.

Yazan Masannat1, Yanal Masannat, Abdullah Shatnawei

  • 1Leeds General Infirmary, UK. yazanmas@hotmail.com

The Mount Sinai Journal of Medicine, New York
|February 8, 2007
PubMed
Summary
This summary is machine-generated.

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Gallstone ileus, a rare complication of gallstones, often affects the elderly and presents as intestinal obstruction. Early diagnosis and surgical intervention are crucial for improving outcomes in this condition.

Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Surgical Complications

Background:

  • Gallstone ileus is a rare but serious complication of gallstones.
  • It predominantly affects elderly patients, often leading to intestinal obstruction.
  • The condition is frequently misdiagnosed or diagnosed late, contributing to high morbidity and mortality.

Purpose of the Study:

  • To review the literature on gallstone ileus.
  • To address its pathophysiology, clinical presentation, radiological findings, and treatment options.

Main Methods:

  • A literature search was conducted on gallstone ileus.
  • The search covered the period from 1966 to 2005.

Main Results:

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  • Gallstone ileus accounts for up to 25% of non-strangulation intestinal obstructions in individuals over 65.
  • Typical presentation involves intestinal obstruction following biliary complaints.
  • Radiological findings include signs of obstruction, pneumobilia, and the presence of a gallstone.

    • Conclusions:

    • Gallstone ileus, though rare, has significant implications for the elderly population.
    • Prompt diagnosis and timely surgical treatment are essential for better patient outcomes.
    • While mortality and morbidity remain high, improvements have been noted over time.