1997
DOI: 10.1046/j.1365-2168.1997.02637.x
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Cholecystectomy and fistula closure versus enterolithotomy alone in gallstone ileus

Abstract: Evidence from this study does not support one-stage enterolithotomy, cholecystectomy and fistula closure as the procedure of choice; simple enterolithotomy is appropriate in most patients. However, the one-stage procedure may be acceptable in patients at low risk.

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Cited by 100 publications
(118 citation statements)
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“…Enterolithotomy alone was most frequently chosen as the routine surgical treatment for gallstone ileus in Japan. The mortality was higher in the patients with one-stage surgery including enterolithotomy, cholecyctectomy and fistula closure, regardless of the patients' age [17]. Therefore simple enterolithotomy is considered to be appropriate in most patients.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Enterolithotomy alone was most frequently chosen as the routine surgical treatment for gallstone ileus in Japan. The mortality was higher in the patients with one-stage surgery including enterolithotomy, cholecyctectomy and fistula closure, regardless of the patients' age [17]. Therefore simple enterolithotomy is considered to be appropriate in most patients.…”
Section: Discussionmentioning
confidence: 99%
“…The therapeutic management of gallstone ileus remains controversial [17]. However, considering that a spontaneous passage of the impacted stone through the intestine is rare, a surgical approach is likely to be an appropriate therapeutic strategy if the condition of the patients permits such intervention [18].…”
Section: Discussionmentioning
confidence: 99%
“…Safra taşı ileusu, safra kesesi veya safra yolları ile duodenum, mide, koledok ya da kolon arasında meydana gelen fistüle bağlı olarak safra taşlarının intestinal sisteme geçmesi ve obstrüksiyona neden olması ile meydana gelmektedir (8). Oluşan bu fistüller arasında en çok kolesistoduodenal fistül görülmektedir.…”
Section: Discussionunclassified
“…One-stage surgery with combined enterolithotomy, cholecystectomy and fi stula-closure remains a matter of debate, since it is associated with a high rate of complications and a high mortality rate [8]. It is primarily recommended in patients who have a low operative risk and in whom fi ndings in the right upper quadrant permit biliary tract inspection and cholecystectomy [1,2,9,10]. In high risk patients, it is recommended to perform enterolithotomy alone, followed by elective cholecystectomy at a later date if biliary symptoms persist.…”
Section: Discussionmentioning
confidence: 99%