Gallstone ileus: management options and results on a series of 40 patients
Autor: | JL Salvador Sanchís, G. Paiva Coronel, J. M. Daroca José, M. Alcalde Sánchez, D. Martínez Ramos, J Escrig Sos |
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Rok vydání: | 2009 |
Předmět: |
Enterotomy
Adult Male medicine.medical_specialty Intra operative Biliary Fistula Fistula Gallstone ileus Comorbidity Gallstones Ileus Postoperative Complications medicine Intestinal Fistula Humans Cholecystectomy Fistula repair Pathological Intubation Gastrointestinal Digestive System Surgical Procedures Aged Retrospective Studies Aged 80 and over business.industry Ileal Diseases General surgery Anastomosis Surgical Gastroenterology General Medicine Jejunal Diseases Biliary fistula Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome Hospital admission Fluid Therapy Female Duodenal Obstruction business |
Zdroj: | Revista Española de Enfermedades Digestivas v.101 n.2 2009 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
ISSN: | 1130-0108 |
Popis: | Introduction: controversy remains about the management of gallstone ileus. While some authors propose enterotomy, others defend the one-stage procedure (simultaneously fistula repair). The objective of the present study was to analyze management options and comparative study their results. Material and methods: retrospective and descriptive study with revision of clinical stories of patients with the diagnosis of gallstone ileus between 1987 and 2008. All the following vari ables were recorded: dates of hospital admission, surgery and dis charge, age, sex, pathological antecedents, preoperative or intra operative diagnosis, treatment, location of the fistula and location of the obstruction. End-result variables were: postoperative com plications, mortality, complications during the follow-up and bil iary complications. Results: a total of 40 patients were included of 46,648 ad missions. Age, comorbidity, and intraoperative diagnosis were re lated with poorer short- and long-outcomes. The percentage of postoperative complications was similar for groups with and with out fistula repair. Mortality was higher in the group with fistula re pair (15 vs. 25%). Biliary complications were more frequent in the group without fistula repair (11 vs. 0%). Sex, location of the fistu la and location of the obstruction did not be related with the prog nosis. Conclusion: one-stage procedure is related with higher mor tality rate than enterotomy alone. Nevertheless, fistula repair re duces the number of biliary complications during the follow-up. |
Databáze: | OpenAIRE |
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