Gallstones literature review

Article PDF Available Literature Review. Gallstones. September ; BMJ (online Acute gallstone disease is a high-volume emergency general surgery presentation with wide variations in the. Sep 01,  · The literature suggests that gallstone ileus (GI) is a rare condition affecting mainly the older population and has a female predominance. CT and magnetic resonance imaging have made it easier to diagnose GI. Nov 01,  · In a systematic review of 38 cases of sigmoid gallstone ileus, Farkas et al 14 reported the age range of patients of 65–94 years, mean age of years, and nearly threefold higher proportion of female patients than of male patients; regarding clinical symptoms, 74% of the patients presented abdominal pain, whereas 93% of the patients presented other obstructive symptoms of constipation (61%), vomiting (50%) and abdominal distension (26%). Gallstone ileus: literature review Gallstone ileus is a rare case of mechanical intestinal obstruction observed in patients with history of cholelithiasis or cholecystitis. Its diagnosis is difficult and it is characterized by high mortality rate. Diagnostic Imaging plays an important role in the management of patients with suspected . Abstract Gallstone ileus (GI) is characterized by occlusion of the intestinal lumen as a result of one or more gallstones. GI is a rare complication of gallstones that occurs in 1%-4% of all cases of bowel obstruction. The mortality associated with GI ranges between 12% and 27%.
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Either your web questions intermediate essay doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. Review Free to read. Gallstone ileus GI is characterized by occlusion of the intestinal lumen as a result of one or gallstones literature review gallstones.

Classical findings on plain abdominal radiography include: 1 pneumobilia; 2 intestinal obstruction; 3 an aberrantly located gallstone; and 4 change of location of a previously observed stone.

The optimal management of acute GI is controversial and learn more here be: 1 enterotomy with stone extraction alone; 2 enterotomy, stone extraction, cholecystectomy and fistula closure; 3 bowel resection alone; and 4 bowel resection with fistula closure.

We describe a case to highlight some of the pertinent issues involved in GI management, and propose gallstones literature review scheme to minimize recurrent disease and postoperative complications.

We conclude that Here is a rare condition affecting mainly the older population with a female predominance.

The advent of gallstones literature review tomography and magnetic resonance imaging has made it easier see more diagnose GI. Enterotomy with stone extraction alone remains the most common surgical method because of its low incidence of complications.

Core tip: We present the case of a year-old female who presented at our institution with symptoms of bowel obstruction. Abdominal computed tomography CT and exploratory laparotomy revealed a large gallstone in the terminal ileus. She underwent enterolithotomy and had visit web page uneventful postoperative course.

The literature suggests that gallstone ileus GI is a rare condition affecting mainly the older population and has a female predominance. CT and magnetic resonance imaging have made it easier to diagnose GI. Gallstone ileus GI is characterized by occlusion of the intestinal lumen as a result of one or more gallstones[ 12 ]. GI accounts for only 0. The optimal management of acute GI is controversial[ 34 ].

We describe a case here to highlight some of the pertinent issues involved in GI management, and propose a scheme to minimize recurrent disease and postoperative complications. A year-old female presented with intermittent vomiting and abdominal pain for 7 d. This patient had cholecystolithiasis for 10 years and had been treated with antibiotics.

She had been treated in another hospital with intravenous fluids and antibiotics. She had undergone gastrointestinal decompression and regulation of water and electrolytes for approximately 1 wk, but the symptoms had not abated.

One week after the latest attack, she was referred to our hospital for nausea, continue reading, constipation and abdominal pain. Upon examination, her abdomen was moderately distended, and tympanic and high-pitched bowel sounds were audible. Rectal examination was normal. Blood tests revealed an elevated total leukocyte count She was treated with intravenous fluids and antibiotics.

However, 2 d after hospital admission, clinical deterioration was investigated with computed tomography CT. CT demonstrated a small-bowel obstruction due to a mm calculus within an gallstones literature review loop.

CT showed air in the gallbladder and adhesions between the thickened gallbladder gallstones literature review and duodenal wall. We therefore made a diagnosis of GI. Severe air-fluid level.

A: Axial view of the upper abdomen demonstrates air in an intrahepatic bile duct arrow ; B: Axial view of the upper abdomen demonstrates an air in the gallbladder arrow ; C: Computed tomography demonstrating gallstones of approximately 5 cm in diameter holiday introduction within the small bowel.

The patient underwent an exploratory laparotomy, gallstones literature review which a wide fistula from the gallbladder to the second part of the duodenum was found.

Abdominal adhesions around the gallbladder were very severe. Exploration revealed massively dilated loops of the small bowel proximal to the distal ileum. The patient had an uneventful postoperative course and was discharged home on postoperative day The gallstone was removed and the enterotomy repaired gallstones literature review two layers.

GI is more common in women, and the ratio of females to males is 3. The gallstone may enter the intestine through a fistula and it can impact anywhere in the gastrointestinal tract[ 5 ]. As shown by Reisner and Cohen, impaction of the stone can occur in any part of the bowel, i. It can also be passed spontaneously 1. Introductory paragraph essay occurs most frequently in the terminal argumentative essay idiomatic and the ileocecal valve because of their narrow lumen and potentially less active peristalsis[ 10 ].

If GI occurs in elderly patients with comorbidities, the often vague, intermittent symptoms may delay the diagnosis by read article 3 ]. Presentation is typically non-specific, and literature review migration with intermittent symptoms of nausea, vomiting, abdominal distension and pain.

We should pay more attention to those patients who have the history of cholecystolithiasis and with symptoms such as nausea, vomiting, abdominal distension and pain. In the past, confirming the diagnosis was difficult, but the advent of CT and magnetic resonance imaging MRI has made it easier to diagnose GI[ 1011 ].

Classical findings on plain abdominal radiography include: 1 pneumobilia; 2 intestinal obstruction; 3 an aberrantly located gallstone; and 4 a change in location of a previously observed stone[ 911 - 14 ]. Interestingly, no aerobilia which can be easily detected by transabdominal ultrasound may argumentative essay rainforest one reason for the delayed diagnosis.

Additionally, the absence of significant calcification of the stone reduces the chance of an early diagnosis.

GI is a mechanical intestinal obstruction caused by impaction of gallstones within the lumen of the bowel. Most reports indicate that stones smaller than 2. Management of GI is controversial and includes: 1 enterotomy with stone extraction alone; 2 enterotomy, stone extraction, cholecystectomy and http://studyuniversity.info/do-my-essay/tekstong-argumentative-essay.html closure; 3 bowel resection alone; and 4 bowel resection with fistula closure[ 4615 ].

Enterotomy with stone extraction alone remains the most common surgical method because of its low incidence of complications[ 4 ]. Small-bowel obstruction requires enterolithotomy with a longitudinal incision placed on the anti-mesenteric border proximal to the site of impaction. Careful closure of the enterolithotomy is needed to avoid narrowing of the intestinal lumen, and we usually employ a transverse closure for this reason.

The choice of gallstones literature review procedure is determined largely by clinical status. GI patients are usually elderly and have comorbidities so enterotomy with stone extraction alone appears to more suitable than more invasive techniques[ 416 ].

We noted that fistula closure, if conducted urgently or as an emergency during the initial procedure, was independently associated with a higher prevalence of mortality than enterotomy and gallstones literature review extraction alone. The reason may be gallstones literature review elderly patients have multiple comorbidities and an edematous surrounding area. Bowel resection is gallstones literature review necessary, particularly in the presence of a perforation.

Laparoscopy-assisted methods have been reported by Sarli et read article 18 ], who successfully treated three women with GI. Their patients made uneventful recoveries. However, laparoscopy is somewhat more challenging in cases of gallstones literature review and an edematous bowel[ 1819 ]. In contrast to what has been published so far, the most common postoperative complication is acute renal failure followed by gallstones literature review tract infection and wound infections.

Gastrointestinal complications related to anastomotic leaks and intra-abdominal abscesses are highest in patients undergoing enterotomy with fistula closure[ 34 business argumentative essay, 12 ].

If the gallbladder is preserved at the initial procedure, delayed cholecystectomy must be addressed. In conclusion, GI is a gallstones literature review condition affecting mainly the older population with a female predominance.

If GI occurs in elderly patients with gallstones literature review, the often vague, intermittent symptoms may delay the diagnosis by days. Read article at publisher's site DOI : World J Clin Cases8 1001 May Surg Res Pract, 24 Apr Cureus12 3 :e, 15 Mar To arrive at the top five similar articles gallstones literature review use a word-weighted algorithm to compare words from the Title and Abstract of each citation.

Ann Ital Chirgallstones literature review, 29 Mar Cited by: 0 gallstones literature review PMID: Ann Surg201 Feb Cited by: 62 articles PMID: Cir Cir86 201 Jan Cited by: 1 article PMID: Gallstones literature review Surg70 410 Oct Cited by: 3 articles PMID: Cir Cir83 201 Mar Europe PMC requires Javascript to function effectively. Recent Activity. Recent history Saved searches. Search articles by 'Xin-Zheng Learn more here. Dai XZ 1.

Li GQ. Feng Zhang Search articles by 'Feng Zhang'. Zhang F. Wang XH. Zhang CY. Affiliations 1 author 1. Argumentative salutation this article Share with email Share with twitter Share with linkedin Share with facebook.

Abstract Gallstone ileus GI is gallstones literature review by occlusion of the intestinal link as a result of one or more gallstones. Free full text. World J Gastroenterol.

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