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Gallstone ileus

S B VanLandingham, C W Broders

    The Surgical Clinics of North America
    |April 1, 1982
    PubMed
    Summary

    Gallstone ileus requires prompt surgical intervention to prevent severe complications. While enterolithotomy is primary, a one-stage cholecystectomy may be feasible, prioritizing life-saving treatment.

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    Area of Science:

    • Gastroenterology and Hepatobiliary Surgery

    Background:

    • Gallstone ileus is an uncommon but serious complication of cholelithiasis.
    • Delayed treatment can lead to significant morbidity and mortality.

    Purpose of the Study:

    • To outline the urgent surgical management of gallstone ileus.
    • To discuss the role of enterolithotomy and potential one-stage procedures.

    Main Methods:

    • Review of surgical approaches for gallstone ileus.
    • Emphasis on clinical judgment in procedure selection.

    Main Results:

    • Enterolithotomy is the primary surgical treatment for gallstone ileus.
    • One-stage cholecystectomy and fistula repair may be performed if patient condition permits.

    Conclusions:

    • The paramount goal in surgical treatment is life preservation.
    • Early cholecystectomy for gallstones is supported by the complications of gallstone ileus.