Recurrent gallstone ileus: time to change our surgery?

Fitzgerald, J Edward; Fitzgerald, Lucy; Maxwell-Armstrong, Charles; Brooks, Adam

doi:10.1111/j.1751-2980.2009.00378.x

Cited by 27 publications

(29 citation statements)

References 11 publications

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“…Studies have shown that this procedure is as effective as the more invasive open cholecystectomy, provided the stones are accurately located by cholangiogram prior to the procedure so that they can all be removed. [22] Some studies observed that 52 (29%) patients had acute onset of pain while the remaining patients had chronic pain. Similar result were found by Ganey et al and Sharma et al [1,5,7,12] Vomiting was spontaneous and occurred mostly during the attacks of pain.…”

Section: Discussionmentioning

confidence: 99%

“…Tenderness in right hypochondrium was present in 83% of patients, which was comparable with Kapoor et al, [13] and Karl et al [14] In the study by Prakash et al, [4] ultrasound scanning revealed gallbladder calculus only in 175 patients and 5 patients had stones both in gallbladder and common bile duct. Solitary calculus was found in 65 (36%) patients on sonography, but on intraoperative correlation, three of these patients [16][17][18][19][20][21][22] …”

Section: Discussionmentioning

confidence: 99%

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A Clinico-Pathological Comparative study in patients undergoing Open Vs Laparoscopic Cholecystectomy

Lohiya¹,

Kumar²

2017

AIMDR

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Background: Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. The present study is done to know the incidence of cholelithiasis in India with respect to age and sex. To compare and evaluate the advantages and disadvantages of laparoscopic versus open cholecystectomy surgical procedures. Methods: This is a comparative study done at tertiary care centre for the period of two years. Hundred cases of cholelithiasis were admitted, examined and operated during this period. Seventy two patients underwent laparoscopic cholecystectomy and twenty eight patients underwent open cholecystectomy. Surgical complications, duration of hospital stay were also recorded. Results: Maximum incidence of cases was in the 4th decade with female preponderance. The most common symptom was pain abdomen and commonest sign was tenderness. Ultrasonography is the investigation of choice. After laparoscopic cholecystectomy duration of hospital stay as well as return to normal routine work was significantly less as compared to open cholecystectomy. Conclusion: Laparoscopic cholecystectomy is innocuous and actual treatment with early recovery and cosmetic advantage. Open cholecystectomy is preferred if significant adhesions or inflammation are recognized during laparoscopy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Clinico-Pathological Comparative study in patients undergoing Open Vs Laparoscopic Cholecystectomy

Lohiya¹,

Kumar²

2017

AIMDR

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“…6 When a population is considered as a whole, gallstone ileus is the cause of 1% to 3% of mechanical small bowel obstructions. 1 In patients over the age of 65 years diagnosed as having a small bowel obstruction, gallstone ileus is the cause of up to 25% of these bowel obstructions. 1 Gallstone ileus occurs more commonly in elderly patients, with an average age reported to be between 66 and 77 years.…”

Section: Discussionmentioning

confidence: 99%

“…1 In patients over the age of 65 years diagnosed as having a small bowel obstruction, gallstone ileus is the cause of up to 25% of these bowel obstructions. 1 Gallstone ileus occurs more commonly in elderly patients, with an average age reported to be between 66 and 77 years. 7 This advanced age, in addition to associated co-morbidities, results in high morbidity and mortality with gallstone ileus.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent Gallstone Ileus

Hayes

2012

Clinical Medicine & Research

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Cholecystolithotomy, a new approach to reduce recurrent gallstone ileus

Rabie

Sokker

2019

Acute Medicine & Surgery

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The incidence of gallstone ileus (GSI) is increasing. Current treatment options include enterolithotomy with or without cholecystectomy and repair of the biliodigestive fistula. Although most surgeons defer the management of the biliodigestive fistula to avoid the associated morbidity and mortality, this can lead to increased rate of recurrence of GSI by the remaining gallstones. More than 130 cases of recurrent GSI were reported in published works, and the incidence of recurrent GSI is reported to be between 5% and 20%. Some cases of second recurrent attacks have also been reported. Most cases were reported in elderly women with faceted stones during the first 2 months from the first episode of GSI. This article reviews the current treatment options for more than 4,300 reported cases of GSI. A treatment algorithm is recommended based on the severity of the inflammation around the gallbladder, including cholecystolithotomy as a third treatment approach that aims to reduce the risk of recurrent GSI.

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Recurrent gallstone ileus: time to change our surgery?

Cited by 27 publications

References 11 publications

A Clinico-Pathological Comparative study in patients undergoing Open Vs Laparoscopic Cholecystectomy

A Clinico-Pathological Comparative study in patients undergoing Open Vs Laparoscopic Cholecystectomy

Recurrent Gallstone Ileus

Cholecystolithotomy, a new approach to reduce recurrent gallstone ileus

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