Gallstone ileus: revisiting surgical outcomes using National Surgical Quality Improvement Program data

Mallipeddi, Mohan K.; Pappas, Theodore N.; Shapiro, Mark L.; Scarborough, John

doi:10.1016/j.jss.2013.05.027

Cited by 46 publications

(47 citation statements)

References 7 publications

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“…They found fistula repair and bowel resection to be independently associated with higher mortality rates and longer hospital stays when compared to simple enterolithotomy repair with an odds ratio of 2.86 (95%CI: 1.16-7.07) and 3.68 (95%CI: 1.59-5.76), respectively. In support of these studies are reviews by several other authors showing a preference for reserving the higher risk single-stage procedure for patients with lower ASA classifications[14,22,23]. …”

Section: Discussionmentioning

confidence: 87%

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Lamba¹,

Shi²,

Prabhu³

2016

WJGS

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Gallstone ileus due to erosion of one or more gallstones into the gastrointestinal tract is an uncommon cause of small bowel obstruction. The site of impaction is usually distal ileum, and less commonly the jejunum, colon, duodenum, or stomach. We report a rare case of gallstone ileus with impaction at the proximal small bowel and at a Meckel’s diverticulum (MD) in a 64-year-old woman managed with laparoscopic converted to open small bowel resections. Patient was discharged home in stable condition and remained asymptomatic at 6-mo follow up. We review the current literature on surgical approaches to MD and gallstone ileus. Diverticulectomy or segmental resection is preferred for complicated MD. For gallstone ileus, simple enterolithotomy or segmental resection are the most the most favored especially in older co-morbid patients due to lower mortality rates and the rarity of recurrent gallstone ileus. In addition, laparoscopy has been increasingly reported as a safe approach to manage gallstone ileus.

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Section: Discussionmentioning

confidence: 87%

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Lamba¹,

Shi²,

Prabhu³

2016

WJGS

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“…Recently studies demonstrate that morbimortality in patients with JB decrease when antibiotics and intensive care are applied [3]. Videolaparoscopy surgery enable a better recovery postoperative [3,15,16]. In the reported case the gallstone removal by flexible endoscopy was not possible due to gallstone's size and because of absence of technological device to crack the gallstone.…”

Section: Discussionmentioning

confidence: 99%

Jejunum-Biliary Intestinal Obstruction - Case Report

Nácul¹

2017

BJSTR

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“…Multiple reviews of this disease have shown a marked improvement in outcomes over the 20th century, with mortality rates falling from over 40% in the 1890s, to 6% in the modern era 1 4 5. The historic description of gallstone ileus is that of an elderly patient with a history of biliary-type symptoms and obstruction in the distal small bowel at the narrowing of the terminal ileum.…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis

et al. 2014

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SUMMARYWe describe an unusual case of a 74-year-old woman who presented with signs and symptoms of small-bowel obstruction and a clinically appreciable, irreducible, leftsided lumbar hernia associated with previous iliac crest bone graft harvesting. Palpation of the hernia demonstrated a small, firm mass within the loops of herniated bowel. CT scanning recognised an intraluminal gallstone at the transition point, establishing the diagnosis of gallstone ileus within an incarcerated lumbar hernia. The proposed explanatory mechanism is that of a gallstone migrating into an easily reducible hernia containing small bowel causing obstruction at the hernia neck by a ball-valve mechanism, resulting in proximal bowel dilation and thus hernia incarceration; it remains unclear when the stone entered the hernia, and whether it enlarged in situ or prior to entering the enteral tract. This is only the second reported instance in the literature of an intraluminal gallstone causing hernia incarceration. BACKGROUND

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Gallstone ileus: revisiting surgical outcomes using National Surgical Quality Improvement Program data

Cited by 46 publications

References 7 publications

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Gallstone ileus associated with impaction at Meckel’s diverticulum: Case report and literature review

Jejunum-Biliary Intestinal Obstruction - Case Report

Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis

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