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Updated: Jan 1, 2026

Ileectomy-induced Bile Overaccumulation in Mouse Intestine

Ileectomy-induced Bile Overaccumulation in Mouse Intestine

Published on: August 21, 2017

Gallstone ileus: a review.

Koichi Inukai¹

¹Department of Acute Care Surgery, Sakai City Medical Center, Sakai, Osaka, Japan.

BMJ Open Gastroenterology

|December 26, 2019

Summary

This summary is machine-generated.

Gallstone ileus surgery requires careful approach selection. One-stage operations are preferred for duodenal or colonic impaction, while two-stage procedures may suit small intestine impaction.

Keywords:

abdominal surgery gallstone disease small bowel disease

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Area of Science:

Gastroenterology
Surgical Oncology
Abdominal Surgery

Background:

Gallstone ileus is a significant complication of cholecystolithiasis.
Surgical management of gallstone ileus presents challenges in approach selection.
Cholecystoenteric fistula closure can be one-stage or two-stage, with trade-offs in mortality and fistula persistence.

Purpose of the Study:

To review surgical approaches for gallstone ileus based on gallstone impaction site.
To compare one-stage versus two-stage surgical operations for cholecystoenteric fistula closure.

Main Methods:

Literature review of previous studies by the authors' group.
Analysis of clinical reports on gallstone ileus management.
Categorization of surgical strategies by gallstone impaction location (duodenum, small intestine, colon).

Main Results:

One-stage operation is favorable for duodenal impaction due to fistula repair in the same surgical field.
Two-stage operation may be suitable for small intestine impaction, potentially using laparoscopy, balancing low mortality with fistula closure.
One-stage operation is recommended for colonic impaction to prevent fistula persistence and reflux cholangitis.

Conclusions:

Surgical approach for gallstone ileus should be tailored to the impaction site.
One-stage surgery is the preferred treatment for duodenal and colonic gallstone ileus.
Two-stage surgery, possibly laparoscopic, is a viable option for small intestine gallstone ileus.