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Gallstone ileus. A review of 39 cases with emphasis on surgical treatment

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  • P Hesselfeldt
  • Per Jess
A series of 39 cases of gallstone ileus is presented. The median follow-up period was 6 1/2 years (range 4 months-20 years). Surgical treatment was primarily performed in 36 cases. The overall operative mortality rate was 14%. In two cases the initial operation was one-stage enterolithotomy, fistula repair and cholecystectomy. In one of these cases a second operation had to be performed 18 months later, because of choledochal stones. Five of the 29 patients who survived initial simple removal of stone subsequently had biliary-duct related symptoms, all within the first three postoperative years. Re-operation was necessary in only three of these five cases (11% of the series). The study led to the conclusion that initial surgery for gallstone ileus should be limited to removal of obstructing stones. Recent literature, indicating increased mortality following one-stage repair, supports this conclusion.
OriginalsprogEngelsk
TidsskriftActa Chirurgica Scandinavica
Vol/bind148
Udgave nummer5
Sider (fra-til)431-3
Antal sider3
ISSN0001-5482
StatusUdgivet - 1 jan. 1982
Eksternt udgivetJa

ID: 32645575