Related Experiment Video
Updated: May 1, 2026
Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
Gallbladder Stones Following Ileal Resection for Gangrenous Intussusceptions: A Follow-up Study
Roland Iheanyichukwu Osuoji1, Babajide Olawale Balogun1, Olatunbosun Olabode Olofinlade2
1Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
Insights
This study found no gallbladder stones in children who underwent ileal resection for intussusception. Prolonged follow-up is recommended due to thickened gallbladders observed in some cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Imaging
Background:
- Intussusception is a common cause of bowel obstruction in children.
- Late presentation can lead to gangrene, necessitating bowel resection and right hemicolectomy (RH).
Purpose of the Study:
- To investigate the long-term incidence of gallbladder stone formation in children following limited ileal resection for gangrenous intussusception.
- To compare outcomes with children who had manual reduction for viable intussusception.
Main Methods:
- Retrospective analysis of 14 patients with limited ileal resection for gangrenous intussusception.
- Matching with 16 patients who underwent manual reduction for viable intussusception.
- Ultrasound examination of gallbladders in both groups to detect gallstones.
Main Results:
- No gallbladder stones were detected in either the resection or manual reduction groups.
- Two patients (one post-resection, one post-reduction) showed gallbladder wall thickening on ultrasonography during follow-up.
- Follow-up intervals were 72 months and 57 months, respectively.
Conclusions:
- While no gallstones formed, gallbladder wall thickening warrants further investigation.
- Recommend prolonged follow-up for these patients, including periodic ultrasounds or serum bile acid estimations.
- This approach may help detect potential long-term complications after intussusception surgery.
Background:
Intussusceptions are the most common causes of bowel obstruction in infancy and childhood in this environment they present late, resulting in gangrene of the intussusception consequently resection of the affected bowel and a limited or extended right hemicolectomy (RH) to establish bowel continuity.
Aim:
The aim of the following study is to follow-up these children that had a limited ileal resection for gangrenous intussusceptions and document the formation of stones in their gallbladders.
Materials And Methods:
A total of 14 patients who had limited ileal resection during infancy for gangrenous intussusceptions were matched with sixteen patients who had manual reduction for viable intussusceptions during infancy. Both groups had ultrasound scans of their gallbladders to document the formation of stones in their gallbladders.
Results:
No gallbladder stones were found in both groups, however, one male child that had a resection and a RH for a gangrenous intussusception at the age of 4 months and was seen at an interval of 72 months had a thickened gallbladder on ultrasonography, another child, a female child operated on at the age of 6 months and seen at an interval of 57 months also had a thickened gallbladder on ultrasonography.
Conclusion:
Although no stones were seen, we suggest a prolonged follow-up of these patients with either periodic ultrasonography of the their gallbladders or with the periodic estimation of their serum bile acids.
Related Concept Videos
01:20Cholecystitis
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Urinary Tract Calculi VI: Surgical Management