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Comparison between surgical techniques in gallstone ileus and outcomes
Abner A Requena-López1, Brenda K Mata-Samperio1, Fernando Solís-Almanza1
1Departamento de Cirugía General, Centro Médico Instituto de Seguridad Social del Estado de México (ISSEMyM), Ecatepec, Estado de México, México.
Cirugia Y Cirujanos
|June 16, 2020
Summary
Gallstone ileus, a rare bowel obstruction, is best treated with enterotomy and stone extraction alone. This method shows lower mortality and better outcomes compared to more extensive surgical procedures.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Gallstone ileus is a rare cause of mechanical bowel obstruction.
- It predominantly affects elderly patients with comorbidities.
Purpose of the Study:
- To determine the prevalence of gallstone ileus.
- To compare surgical management options for gallstone ileus regarding complications and outcomes.
Main Methods:
- Retrospective, observational, and comparative cohort study.
- 31 patients with gallstone ileus were analyzed.
- Patients were divided into three surgical groups: enterotomy alone, enterotomy with cholecystectomy, and bowel resection alone.
Main Results:
- Gallstone ileus accounted for 1.44% of bowel obstructions.
- Complication rates were similar across the three surgical groups.
- Mortality was significantly lower in the enterotomy and stone extraction group compared to the enterotomy with cholecystectomy group.
Conclusions:
- Surgery is the primary treatment for gallstone ileus.
- Enterotomy with stone extraction alone is associated with reduced mortality and improved outcomes.
- Less invasive surgical approaches may be preferable for gallstone ileus treatment.
