| Title |
Tulžies akmenų sukeltas mechaninis žarnų nepraeinamumas: retrospektyvioji 14 ligos atvejų analizė ir klinikinis atvejis / |
| Translation of Title |
Gallstone ileus: retrospective review of 14 cases and case report. |
| Authors |
Juodeikis, Žygimantas ; Stanaitis, Juozas ; Stašinskas, Algimantas |
| DOI |
10.15388/LietChirur.2012.1.2073 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2012, T. 10, Nr. 1-2, p. 37-42.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
gallstone ileus ; enterolithotomy ; Bouveret syndrome |
| Abstract [eng] |
Objective The objective of this study was to present the resuts of our treatment of gallstone ileus and to compare them with the results reported by other authors. Patients and methods A retrospective study with the revision of clinical stories of patients diagnosed with gallstone ileus between 1991 and 2011 was performed. Results Analysis of data on 14 patients was performed. All of the patients were older than 70 years (median, 76.9). The men-to-women ratio was 3 : 11. All patients were admitted with small bowel obstruction symtoms and operated on rapidly. The most common obstruction location was the ileum and the jejunum, and a less frequent location was the duodenum. Enterolithotomy was performed in 7 cases cholecystectomy and enterolithotomy in 3 cases. There was a single case when small bowel resection was necessary. Concrements were succesfully mechanically pushed into the colon in 2 cases. In one case, the Finney pyloroplasty and cholecystectomy were performed. Postoperatively, 2 patients died. Postoperative complications were observed in 3 cases. Conclusions Gallstone ileus is a rare and highly lethal pathology which mostly occurs in the elderly. Enterolithotomy with cholecystectomy is related to a higher mortality rate than enterolithotomy alone. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2012 |
| CC license |
|
