Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://link.springer.com/doi/10.1007/s00268-002-6569-0 below:

Comparison of Surgical Treatments of Gallstone Ileus: Preliminary Report

Abstract

Gallstone ileus is an uncommon cause of small bowel obstruction, accounting for only 1% to 4% of all intestinal obstructions. In the group of patients over 65 years of age, gallstones cause about 25% of all non-strangulated obstructions of the small bowel. Gallstone ileus is burdened with high mortality rate, ranging from 12% to 18%, and most patients are of advanced age, with many other concomitant diseases that may increase the operative risk. The purpose of this study was to compare the two investigated surgical procedures: treatment of intestinal obstruction alone or combined with urgent cholecystectomy and fistula repair. Analysis of 30 patients undergoing operation for gallstone ileus at the Clinical Hospital “Sestre milosrdnice” between 1985 and 2001 is presented. Patients were treated either for ileus alone (group 1, 11 patients) or as one-stage procedure with urgent fistula closure (group 2, 19 patients). Operating time was significantly longer for the one-stage procedure. Complications occurred in 3 of 11 patients (27.3%) from group 1 and in 11 of 18 patients (61.1%) from group 2 (one tailed, p = 0.043). One patient in group 1 died and two patients in group 2 died. Urgent fistula repair was significantly associated with the occurrence of complications (odds ratio [OR] 12.1, 95% confidence internal [95% CI] 1.2–121.5). Simple enterotomy should be the procedure of choice for patients with gallstone ileus. The one-stage procedure including urgent fistula repair should be reserved only for highly selected patients with absolute indications.

This is a preview of subscription content, log in via an institution to check access.

Springer+ Basic

€34.99 /Month

• Get 10 units per month
• Download Article/Chapter or eBook
• 1 Unit = 1 Article or 1 Chapter
• Cancel anytime

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

1. Department of Surgery, Clinical Hospital “Sestre Milosrdnice”, Vinogradska Cesta 29, 10000, Zagreb, Croatia, , , , ,

   Marko Doko M.D., Ph.D., Mario Zovak M.D., Mario Kopljar M.D., Elizabet Glavan M.D. & Hrvoje Hochstädter M.D., M.Sc.

2. Department of Internal Medicine, Clinical Hospital “Sestre Milosrdnice”, Vinogradska Cesta 29, 10000, Zagreb, Croatia, , , , ,

   Neven Ljubicic M.D., Ph.D.

1. Marko Doko M.D., Ph.D.
2. Mario Zovak M.D.
3. Mario Kopljar M.D.
4. Elizabet Glavan M.D.
5. Neven Ljubicic M.D., Ph.D.
6. Hrvoje Hochstädter M.D., M.Sc.

Doko, M., Zovak, M., Kopljar, M. et al. Comparison of Surgical Treatments of Gallstone Ileus: Preliminary Report. World J. Surg. 27, 400–404 (2003). https://doi.org/10.1007/s00268-002-6569-0

Download citation

• Issue Date: April 2003

• DOI: https://doi.org/10.1007/s00268-002-6569-0

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.4