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[Gallstone ileus]

M Rea1, R Arca, A Baccaro

  • 1Ospedale Umberto I di Frosinone, Reparto di Chirurgia Generale.

Minerva Chirurgica
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

Gallstone ileus, a rare cause of bowel obstruction, is best treated with enterolithotomy alone. Delayed fistula repair is recommended only if symptoms persist or recur.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Context:

  • Gallstone ileus is a rare condition, often presenting diagnostic challenges.
  • It accounts for 1% of mechanical bowel obstructions.
  • This study reviewed cases from 1976 to 1991.

Purpose:

  • To evaluate the optimal surgical approach for gallstone ileus.
  • To determine the effectiveness of enterolithotomy versus bowel resection.

Summary:

  • Four cases of gallstone ileus were analyzed.
  • Three patients underwent enterolithotomy alone; one required intestinal resection and anastomosis.
  • One patient passed a stone rectally, and another died post-surgery.

Impact:

  • Enterolithotomy alone is proposed as the standard procedure for gallstone ileus.
  • This approach may reduce surgical morbidity and mortality.
  • Delayed fistula repair is advised for persistent or recurrent symptoms.