A Case of Gallstone Ileus after Gastrectomy and Cholecystectomy

Ohta, Mai; Shiobara, Masayuki; Ando, Katsuhiko; Nunomura, Masao; Sarashina, Hiromi; Miyazaki, Masaru

doi:10.5833/jjgs.41.1832

Cited by 1 publication

(9 citation statements)

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“…49 The largest series published prior to this report includes 10 Japanese cases and 5 in the English literature. 39 In the most comprehensive review of GSI, only 6 cases of PCGSI were identified, which is a further indication of its rarity.…”

Section: Discussionmentioning

confidence: 99%

“…34 A series in the English literature was published by Mansson in 2015 and documented 11 cases of PCSGI. 49 Ohta et al had documented the largest series of PCGSI inclusive of 10 Japanese previously reported cases 15,[17][18][19]22,25,26,32,36,39 and 5 papers in the English literature. 39 A case of gastric outlet obstruction (Bouveret's syndrome 9 ) in a patient who had a cholecystectomy 50 years prior was recently reported.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…49 Ohta et al had documented the largest series of PCGSI inclusive of 10 Japanese previously reported cases 15,[17][18][19]22,25,26,32,36,39 and 5 papers in the English literature. 39 A case of gastric outlet obstruction (Bouveret's syndrome 9 ) in a patient who had a cholecystectomy 50 years prior was recently reported. 56 All of these patients were included individually in Table 1.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…49 It is unclear if the patients who presented with a choledochoduodenal fistula in Ohta's review-39 formed primary stones. 39 Stones trapped in the common bile duct. In 3 separate reports, a stone had been trapped in the common bile duct (CBD) after cholecystectomy and led to GSI following endoscopic sphincterotomy.…”

Section: Mechanismmentioning

confidence: 99%

“…In 18 cases, the mechanism was unknown or not repor ted. 12,13,16,18,23,25,26,29,30,32,36,39,43,47,49,[54][55][56]…”

Section: Mechanismmentioning

confidence: 99%

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Post-cholecystectomy Gallstone Ileus

Meier

Guzzetta

Huerta

2020

The American Surgeon™

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Gallstone ileus is an unusual complication of cholelithiasis. Classically, a stone is impacted at the terminal ileum originating from a cholecystoduodenal fistula. Exceptions to this pathophysiology have been noted at each step. In this systematic review, we document a comprehensive review of postcholecystectomy gallstone ileus inclusive of 49 separate cases and report 8 different mechanisms leading to this unusual complication. The most common mechanism is a lost stone during cholecystectomy that then erodes through the intestinal wall leading to bowel obstruction. Our review showed an older, female predominance (64.0%) at an average age of 68.0 years, patients typically had a burden of comorbidities. Delay in diagnosis was common (64% of cases) with the correct diagnosis made in 37.5% of patients during admission. Pneumobilia was commonly reported (29.0%). There was a wide range in the amount of time between cholecystectomy and gallstone ileus, from 10 days to 50 years (mean 12.4 years). Postcholecystectomy gallstone ileus is an unusual complication of cholelithiasis, which mandates surgery. Retrieval of stones should be undertaken if they are spilled during cholecystectomy. Owing to the increasing age of the American patient population, it is likely that a higher number of patients with this condition will be encountered.

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Section: Discussionmentioning

confidence: 99%