Gallstone Ileus in Octogenarians: Is Cholecystectomy Really Needed?

Q3 Medicine
Nikolaos Koliakos, Dimitrios Papaconstantinou, Andrianos Serafeim Tzortzis, Efstratios Kofopoulos-Lymperis, Anargyros Bakopoulos, Konstantinos Nastos, Evangelos P Misiakos, Emmanouil Pikoulis
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引用次数: 1

Abstract

Gallstone ileus is an uncommon complication of cholelithiasis and occurs when a gallstone migrates through a cholecystoenteric fistula and impacts within the gastrointestinal tract. Surgical intervention remains the treatment of choice, which consists of a full-thickness incision of the visceral wall and removal of the impacted gallstone. In this paper we present the treatment approach of 6 cases of gallstone ileus in octogenarians. In our cohort, intestinal obstruction was resolved through an enterotomy or gastrotomy and lithotomy/stone extraction in every patient. No cholecystectomies were undertaken. Despite the fact that gallstone ileus is diagnosed in small percent of patients suffering from gallstone disease, it accounts for a large proportion of intestine obstruction in patients older than 65 years old. Since accurate diagnosis and timely intervention are vital, providers should be familiar with the diagnostic approach and the treatment of this clinical entity.

八旬老人胆石性肠梗阻:真的需要胆囊切除术吗?
胆结石性肠梗阻是胆石症的罕见并发症,当胆结石通过胆囊肠瘘迁移并影响胃肠道时发生。手术干预仍然是治疗的选择,包括全层切开内脏壁和切除阻生胆结石。本文报告6例老年胆结石性肠梗阻的治疗方法。在我们的队列中,每个患者都通过肠切开或胃切开和取石/取石来解决肠梗阻。未行胆囊切除术。尽管胆结石性肠梗阻在患有胆结石疾病的患者中被诊断出来的比例很小,但在65岁以上的患者中,它占肠梗阻的很大比例。由于准确的诊断和及时的干预是至关重要的,提供者应该熟悉诊断方法和治疗这个临床实体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta medica (Hradec Kralove)
Acta medica (Hradec Kralove) Medicine-Medicine (all)
CiteScore
1.10
自引率
0.00%
发文量
8
审稿时长
20 weeks
期刊介绍: Acta Medica (Hradec Králové) is a multidisciplinary medical journal published by the Faculty of Medicine in Hradec Králové - Karolinum Press, the publishing house of Charles University. The journal is peer-reviewed and published quarterly in both paper and electronic form. The language of Acta Medica is English. Offerings include review articles, original articles, brief communications, case reports, announcements and notices. The journal was founded in 1958 under the title "A Collection of Scientific Works of the Charles University Faculty of Medicine in Hradec Kralove."
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