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[Tactics in cholelithic intestinal obstruction].

V M Kuznetsov, E N Tsybikov, B Ch Damdinov

    Khirurgiia
    |February 1, 1991
    PubMed
    Summary
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    Surgical correction of gallstone intestinal obstruction is safer than one-stage removal of the gallbladder and fistula. This approach in four cases of cholelithic intestinal obstruction resulted in no fatal outcomes.

    Area of Science:

    • Gastroenterology
    • Surgical Procedures
    • Hepatobiliary System

    Background:

    • Gallstone intestinal obstruction is a rare but serious complication of cholelithiasis.
    • Management strategies for gallstone intestinal obstruction require careful consideration due to potential complications.

    Observation:

    • Analysis of four cases of cholelithic intestinal obstruction.
    • One case presented with recurrent obstruction on the 23rd postoperative day, necessitating relaparotomy.

    Findings:

    • Correction of the intestinal obstruction was performed.
    • Cholecystectomy with one-stage removal of a biliodigestive fistula was also conducted in the recurrent case.
    • The study highlights that correcting the obstruction is less invasive than simultaneous cholecystectomy and fistula removal.

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    Implications:

    • This tactical approach in managing gallstone intestinal obstruction can lead to favorable outcomes.
    • The findings suggest a preferred surgical strategy to minimize patient morbidity and mortality.
    • Further research into optimizing surgical timing and techniques for complex gallstone disease is warranted.