Year 2009 / Volume 101 / Number 2
Original
Gallstone ileus: management options and results on a series of 40 patients

pp. 117-124

Martínez Ramos, D. / Daroca José, J. M. / Escrig Sos, J. / Paiva Coronel, G. / Alcalde Sánchez, M. / Salvador Sanchís, J. L.

Abstract
Introduction: controversy remains about the management of gallstone ileus. While some authors propose enterotomy, others defend the one-stage procedure (simultaneously fistula repair). The objective of the present study was to analyze management options and comparative study their results.
Material and methods: retrospective and descriptive study with revision of clinical stories of patients with the diagnosis of gallstone ileus between 1987 and 2008. All the following variables were recorded: dates of hospital admission, surgery and discharge, age, sex, pathological antecedents, preoperative or intraoperative diagnosis, treatment, location of the fistula and location of the obstruction. End-result variables were: postoperative complications, mortality, complications during the follow-up and biliary complications.
Results: a total of 40 patients were included of 46,648 admissions. Age, comorbidity, and intraoperative diagnosis were related with poorer short- and long-outcomes. The percentage of postoperative complications was similar for groups with and without fistula repair. Mortality was higher in the group with fistula repair (15 vs. 25%). Biliary complications were more frequent in the group without fistula repair (11 vs. 0%). Sex, location of the fistula and location of the obstruction did not be related with the prognosis.
Conclusion: one-stage procedure is related with higher mortality rate than enterotomy alone. Nevertheless, fistula repair reduces the number of biliary complications during the follow-up.
New comment
Comments
No comments for this article
Related articles
Citation tools
Martínez Ramos, D. / Daroca José, J. M. / Escrig Sos, J. / Paiva Coronel, G. / Alcalde Sánchez, M. / Salvador Sanchís, J. L.. Gallstone ileus: management options and results on a series of 40 patients. 117-124


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 36 visits.
This article has been downloaded 2 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2025 y Creative Commons. The Spanish Journal of Gastroenterology