Gallstone ileus successfully treated with endoscopic fragmentation by using double-balloon endoscopy (with video)

Byeon, Jeong‐Sik; Lee, Sung Koo; Kim, Kyung‐Jo; Ye, Byong Duk; Myung, Seung‐Jae; Yang, Suk-Kyun; Kim, Jin-Ho

doi:10.1016/j.gie.2010.12.018

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…When the place of stone impaction is situated more distally the double-balloon endoscopy can be an option (19). Extracorporeal shock wave lithotripsy (ESWL) for stone fragmentation in gallstone ileus is rarely used because of its highly costs (20).…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus - the double challenge: case report and review of the literature

Banu¹,

Constantin²,

Popa³

et al. 2016

J Clin Invest Surg.

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Gallstone ileus is a rare condition which occurs as an evolutive complication of biliary lithiasis. It occurs after stone migration from extrahepatic biliary tree to the digestive lumen, mostly through a biliary-enteric fistula. This condition involves repeated inflammatory relapses with the formation of local adhesions and generally requires a long evolution. The vast majority of patients with biliary ileus are third aged women who often have concomitant medical illnesses.Gallstone ileus surgery deals with the two components: bowel obstruction and biliary pole. Obstruction solving is approached as a surgical emergency and it requires an attitude adapted to the local situation. The attitude towards biliary surgery for gallstone ileus is a matter in debate. It could be one-stage surgery, elective surgery or expectancy and its choice is imposed by both local and general condition of the patient.We report the case of a middle-age woman whose first symptom of cholelithiasis was the gallstone ileus. Plain upright abdominal radiography revealed air-fluid levels with distended loops of the small bowel and pneumobilia.Laparotomy was decided and exploration revealed an impacted gallstone into the ileum and dense adhesions were found under the liver region. Enterolithotomy for gallstone removal was made. Postoperative evolution was uneventful with discharge on 7th day. Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks.Petrişor Banu et al. 16

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Section: Discussionmentioning

confidence: 99%

Gallstone ileus - the double challenge: case report and review of the literature

Banu¹,

Constantin²,

Popa³

et al. 2016

J Clin Invest Surg.

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“…In principle, gallstone ileus requires treatment intervention since the disease condition improves naturally in only 4–8% of cases. The goal of intervention is to cure ileus by removing stones from the intestinal tract, which is achieved mostly by surgical intervention, but the use of an endoscope [ 16 – 27 ] and extracorporeal shock wave lithotripsy [ 28 – 31 ] has also been reported. It remains controversial whether to perform stone removal surgery alone or with fistula closure and cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus following Endoscopic Stone Extraction

Yamauchi

Wakui

Asai

et al. 2014

Case Reports in Gastrointestinal Medicine

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An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis. During the procedure, the stone was successfully removed by a balloon catheter when cleaning the common bile duct. The next day, the patient developed abdominal pain, abdominal distension, and nausea and was diagnosed as having gallstone ileus based on abdominal computed tomography (CT) and abdominal ultrasonography findings of an incarcerated stone in the terminal ileum. Although colonoscopy was performed after inserting an ileus tube, no stone was visible. Subsequent CT imaging verified the disappearance of the incarcerated stone from the ileum, suggesting that the stone had been evacuated naturally via the transanal route. Although it is extremely rare for gallstone ileus to develop as a complication of ERCP, physicians should be aware of gallstone ileus and follow patients carefully, especially after removing huge stones.

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“…20 Moreover contrast enhanced abdominal CT scan is reported to have the highest specificity and sensitivity in diagnosing GI regarding bilio-enteric fistula, its location, the number and size of stones, CT scan may improve diagnostic accuracy. 10,17,19 Surgical treatment is still subject of research. Current operative options are: 1) enterolithotomy alone; 2) enterolithotomy with cholecystectomy performed later (two-stage surgery); 3) enterolithotomy, cholecystectomy and fistula repair (one-stage surgery).…”

Section: -6mentioning

confidence: 99%