2006
DOI: 10.1089/lap.2006.16.467
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Abstract: Cholecystoenteric fistula is a difficult problem usually diagnosed intraoperatively. A high degree of suspicion at operation is mandatory. A stapled cholecystofistulectomy may be the procedure of choice since it avoids contamination of the peritoneal cavity. Complete laparoscopic management of cholecystoenteric fistulas is possible in well-equipped high-volume centers.

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Cited by 98 publications
(141 citation statements)
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References 14 publications
(10 reference statements)
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“…Nowadays with the development of the imagistic techniques it is possible in some cases to diagnose preoperative a gallstone ileus, usually this diagnosis being set during the surgical intervention itself. [8,9] The majority of the patients are admitted at the emergency room accusing nausea, vomiting, abdominal pain or diarrhea. In the cases of the existence of a gallstone ileus, these patients also present signs of intestinal occlusion.…”
Section: Discussionmentioning
confidence: 99%
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“…Nowadays with the development of the imagistic techniques it is possible in some cases to diagnose preoperative a gallstone ileus, usually this diagnosis being set during the surgical intervention itself. [8,9] The majority of the patients are admitted at the emergency room accusing nausea, vomiting, abdominal pain or diarrhea. In the cases of the existence of a gallstone ileus, these patients also present signs of intestinal occlusion.…”
Section: Discussionmentioning
confidence: 99%
“…[16,17] Bearing in mind this fact, it was proven that approximately 43% of cases of biliary fistulas were correctly diagnosed before the surgical intervention, in patients with cholecysto-colic fistula this percentage drops to around 10%. [6,18] The difficulty of establishing a correct preoperative diagnosis relies in the fact that, the pathognomonic sign of internal biliary fistulas is pneumobilia, but it is often not present in these patients. [19,20] Regarding the treatment of these patients, surgical treatment is the gold standard.…”
Section: Discussionmentioning
confidence: 99%
“…Biliary tract fistulas are categorized into spontaneous and post-operative types. Spontaneous biliary-enteric fistulas are produced by gallstones (90%), peptic ulcer disease (6%) and malignancy or trauma (4%) [1][2][3][4].…”
Section: Discussionmentioning
confidence: 99%
“…Physical findings are unremarkable; however, a vague fullness can sometimes be palpated in the right upper abdominal quadrant which represents the fistula and adhesions [16]. Other presenting symptoms include: Jaundice, right upper quadrant and/or epigastric pain, and flatulent dyspepsia that is aggravated with the intake of fried food [3]. Possible consequences of biliary-enteric fistulas are ascending cholangitis, particularly when the colon is involved; gallstone ileus; weight loss and "malabsorption syndrome"; carcinoma, and rarely gastrointestinal hemorrhage [16].…”
Section: Discussionmentioning
confidence: 99%
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