Gallstone ileus. A review of 39 cases with emphasis on surgical treatment
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Gallstone ileus. A review of 39 cases with emphasis on surgical treatment. / Hesselfeldt, P; Jess, Per.
In: Acta Chirurgica Scandinavica, Vol. 148, No. 5, 01.01.1982, p. 431-3.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Gallstone ileus. A review of 39 cases with emphasis on surgical treatment
AU - Hesselfeldt, P
AU - Jess, Per
PY - 1982/1/1
Y1 - 1982/1/1
N2 - A series of 39 cases of gallstone ileus is presented. The median follow-up period was 6 1/2 years (range 4 months-20 years). Surgical treatment was primarily performed in 36 cases. The overall operative mortality rate was 14%. In two cases the initial operation was one-stage enterolithotomy, fistula repair and cholecystectomy. In one of these cases a second operation had to be performed 18 months later, because of choledochal stones. Five of the 29 patients who survived initial simple removal of stone subsequently had biliary-duct related symptoms, all within the first three postoperative years. Re-operation was necessary in only three of these five cases (11% of the series). The study led to the conclusion that initial surgery for gallstone ileus should be limited to removal of obstructing stones. Recent literature, indicating increased mortality following one-stage repair, supports this conclusion.
AB - A series of 39 cases of gallstone ileus is presented. The median follow-up period was 6 1/2 years (range 4 months-20 years). Surgical treatment was primarily performed in 36 cases. The overall operative mortality rate was 14%. In two cases the initial operation was one-stage enterolithotomy, fistula repair and cholecystectomy. In one of these cases a second operation had to be performed 18 months later, because of choledochal stones. Five of the 29 patients who survived initial simple removal of stone subsequently had biliary-duct related symptoms, all within the first three postoperative years. Re-operation was necessary in only three of these five cases (11% of the series). The study led to the conclusion that initial surgery for gallstone ileus should be limited to removal of obstructing stones. Recent literature, indicating increased mortality following one-stage repair, supports this conclusion.
M3 - Journal article
C2 - 7180339
VL - 148
SP - 431
EP - 433
JO - Acta Chirurgica Scandinavica
JF - Acta Chirurgica Scandinavica
SN - 0001-5482
IS - 5
ER -
ID: 32645575