Gallstone ileus: management options and results on a series of 40 patients
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. Retrospective and descr...
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| Veröffentlicht in: | Revista española de enfermedades digestivas 2009-02, Vol.101 (2), p.117-120 |
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| creator | Martínez Ramos, D Daroca José, J M Escrig Sos, J Paiva Coronel, G Alcalde Sánchez, M Salvador Sanchís, J L |
| description | 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.
Retrospective and descriptive study with revision of clinical stories of patients with the diagnosis of gallstone ileus between 1987 and 2008. All the following variables were recorded: dates of hospital admission, surgery and discharge, age, sex, pathological antecedents, preoperative or intraoperative diagnosis, treatment, location of the fistula and location of the obstruction. End-result variables were: postoperative complications, mortality, complications during the follow-up and biliary complications.
A total of 40 patients were included of 46,648 admissions. Age, comorbidity, and intraoperative diagnosis were related with poorer short- and long-outcomes. The percentage of postoperative complications was similar for groups with and without fistula repair. Mortality was higher in the group with fistula repair (15 vs. 25%). Biliary complications were more frequent in the group without fistula repair (11 vs. 0%). Sex, location of the fistula and location of the obstruction did not be related with the prognosis.
One-stage procedure is related with higher mortality rate than enterotomy alone. Nevertheless, fistula repair reduces the number of biliary complications during the follow-up. |
| doi_str_mv | 10.4321/s1130-01082009000200005 |
| format | Article |
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Retrospective and descriptive study with revision of clinical stories of patients with the diagnosis of gallstone ileus between 1987 and 2008. All the following variables were recorded: dates of hospital admission, surgery and discharge, age, sex, pathological antecedents, preoperative or intraoperative diagnosis, treatment, location of the fistula and location of the obstruction. End-result variables were: postoperative complications, mortality, complications during the follow-up and biliary complications.
A total of 40 patients were included of 46,648 admissions. Age, comorbidity, and intraoperative diagnosis were related with poorer short- and long-outcomes. The percentage of postoperative complications was similar for groups with and without fistula repair. Mortality was higher in the group with fistula repair (15 vs. 25%). Biliary complications were more frequent in the group without fistula repair (11 vs. 0%). Sex, location of the fistula and location of the obstruction did not be related with the prognosis.
One-stage procedure is related with higher mortality rate than enterotomy alone. Nevertheless, fistula repair reduces the number of biliary complications during the follow-up.</description><identifier>ISSN: 1130-0108</identifier><identifier>EISSN: 1130-0108</identifier><identifier>DOI: 10.4321/s1130-01082009000200005</identifier><identifier>PMID: 19335047</identifier><language>eng</language><publisher>Spain: Sociedad Española de Patología Digestiva</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical ; Biliary Fistula - complications ; Biliary Fistula - surgery ; Cholecystectomy ; Comorbidity ; Digestive System Surgical Procedures - statistics & numerical data ; Duodenal Obstruction - epidemiology ; Duodenal Obstruction - etiology ; Duodenal Obstruction - surgery ; Duodenal Obstruction - therapy ; Female ; Fluid Therapy ; Gallstones ; Gastroenterology & Hepatology ; Geriatrics & Gerontology ; Humans ; Ileal Diseases - epidemiology ; Ileal Diseases - etiology ; Ileal Diseases - surgery ; Ileal Diseases - therapy ; Ileus - epidemiology ; Ileus - etiology ; Ileus - surgery ; Ileus - therapy ; Infectious Diseases ; Intestinal Fistula - complications ; Intestinal Fistula - surgery ; Intubation, Gastrointestinal ; Jejunal Diseases - epidemiology ; Jejunal Diseases - etiology ; Jejunal Diseases - surgery ; Jejunal Diseases - therapy ; Length of Stay ; Male ; Middle Aged ; Oncology ; Pathology ; Pharmacology & Pharmacy ; Postoperative Complications - epidemiology ; Radiology, Nuclear Medicine & Medical Imaging ; Retrospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>Revista española de enfermedades digestivas, 2009-02, Vol.101 (2), p.117-120</ispartof><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-24cdf801890fcd83ed330829b616b7b1fbe865339e3d4202c25017ba3fee284c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19335047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez Ramos, D</creatorcontrib><creatorcontrib>Daroca José, J M</creatorcontrib><creatorcontrib>Escrig Sos, J</creatorcontrib><creatorcontrib>Paiva Coronel, G</creatorcontrib><creatorcontrib>Alcalde Sánchez, M</creatorcontrib><creatorcontrib>Salvador Sanchís, J L</creatorcontrib><title>Gallstone ileus: management options and results on a series of 40 patients</title><title>Revista española de enfermedades digestivas</title><addtitle>Rev Esp Enferm Dig</addtitle><description>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.
Retrospective and descriptive study with revision of clinical stories of patients with the diagnosis of gallstone ileus between 1987 and 2008. All the following variables were recorded: dates of hospital admission, surgery and discharge, age, sex, pathological antecedents, preoperative or intraoperative diagnosis, treatment, location of the fistula and location of the obstruction. End-result variables were: postoperative complications, mortality, complications during the follow-up and biliary complications.
A total of 40 patients were included of 46,648 admissions. Age, comorbidity, and intraoperative diagnosis were related with poorer short- and long-outcomes. The percentage of postoperative complications was similar for groups with and without fistula repair. Mortality was higher in the group with fistula repair (15 vs. 25%). Biliary complications were more frequent in the group without fistula repair (11 vs. 0%). Sex, location of the fistula and location of the obstruction did not be related with the prognosis.
One-stage procedure is related with higher mortality rate than enterotomy alone. Nevertheless, fistula repair reduces the number of biliary complications during the follow-up.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anastomosis, Surgical</subject><subject>Biliary Fistula - complications</subject><subject>Biliary Fistula - surgery</subject><subject>Cholecystectomy</subject><subject>Comorbidity</subject><subject>Digestive System Surgical Procedures - statistics & numerical data</subject><subject>Duodenal Obstruction - epidemiology</subject><subject>Duodenal Obstruction - etiology</subject><subject>Duodenal Obstruction - surgery</subject><subject>Duodenal Obstruction - therapy</subject><subject>Female</subject><subject>Fluid Therapy</subject><subject>Gallstones</subject><subject>Gastroenterology & Hepatology</subject><subject>Geriatrics & Gerontology</subject><subject>Humans</subject><subject>Ileal Diseases - epidemiology</subject><subject>Ileal Diseases - etiology</subject><subject>Ileal Diseases - surgery</subject><subject>Ileal Diseases - therapy</subject><subject>Ileus - epidemiology</subject><subject>Ileus - etiology</subject><subject>Ileus - surgery</subject><subject>Ileus - therapy</subject><subject>Infectious Diseases</subject><subject>Intestinal Fistula - complications</subject><subject>Intestinal Fistula - surgery</subject><subject>Intubation, Gastrointestinal</subject><subject>Jejunal Diseases - epidemiology</subject><subject>Jejunal Diseases - etiology</subject><subject>Jejunal Diseases - surgery</subject><subject>Jejunal Diseases - therapy</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Pathology</subject><subject>Pharmacology & Pharmacy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Radiology, Nuclear Medicine & Medical Imaging</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1130-0108</issn><issn>1130-0108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UE1Lw0AUXESxWv0LuidvqW_z8ulNilal4EE9h83mRVI2uzEvOfjvTWlRQfA0A2_mDTNCXCpYRBiqa1YKIQAFWQiQA8AEAPGBOPk-HP7iM3HKvAGIMInDYzFTOWIMUXoinlbaWh68I9lYGvlGttrpd2rJDdJ3Q-MdS-0q2ROPdmDpndSSqW9o4rWMQHZ6aCY1n4mjWlum8z3Oxdv93evyIVg_rx6Xt-vAYIZDEEamqjNQWQ61qTKkCnGqkZeJSsq0VHVJWRIj5oRVFEJowhhUWmqsicIsMjgXi91fNg1ZX2z82LspsHjZ9i3-jDIZrnaGrvcfI_FQtA0bslY78iMXSaogj9J8EqY7oek9c0910fVNq_vPQkGx3f2fiIt9xFi2VP349kPjF03UeeM</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Martínez Ramos, D</creator><creator>Daroca José, J M</creator><creator>Escrig Sos, J</creator><creator>Paiva Coronel, G</creator><creator>Alcalde Sánchez, M</creator><creator>Salvador Sanchís, J L</creator><general>Sociedad Española de Patología Digestiva</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>200902</creationdate><title>Gallstone ileus: management options and results on a series of 40 patients</title><author>Martínez Ramos, D ; Daroca José, J M ; Escrig Sos, J ; Paiva Coronel, G ; Alcalde Sánchez, M ; Salvador Sanchís, J L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-24cdf801890fcd83ed330829b616b7b1fbe865339e3d4202c25017ba3fee284c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anastomosis, Surgical</topic><topic>Biliary Fistula - complications</topic><topic>Biliary Fistula - surgery</topic><topic>Cholecystectomy</topic><topic>Comorbidity</topic><topic>Digestive System Surgical Procedures - statistics & numerical data</topic><topic>Duodenal Obstruction - epidemiology</topic><topic>Duodenal Obstruction - etiology</topic><topic>Duodenal Obstruction - surgery</topic><topic>Duodenal Obstruction - therapy</topic><topic>Female</topic><topic>Fluid Therapy</topic><topic>Gallstones</topic><topic>Gastroenterology & Hepatology</topic><topic>Geriatrics & Gerontology</topic><topic>Humans</topic><topic>Ileal Diseases - epidemiology</topic><topic>Ileal Diseases - etiology</topic><topic>Ileal Diseases - surgery</topic><topic>Ileal Diseases - therapy</topic><topic>Ileus - epidemiology</topic><topic>Ileus - etiology</topic><topic>Ileus - surgery</topic><topic>Ileus - therapy</topic><topic>Infectious Diseases</topic><topic>Intestinal Fistula - complications</topic><topic>Intestinal Fistula - surgery</topic><topic>Intubation, Gastrointestinal</topic><topic>Jejunal Diseases - epidemiology</topic><topic>Jejunal Diseases - etiology</topic><topic>Jejunal Diseases - surgery</topic><topic>Jejunal Diseases - therapy</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Pathology</topic><topic>Pharmacology & Pharmacy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Radiology, Nuclear Medicine & Medical Imaging</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez Ramos, D</creatorcontrib><creatorcontrib>Daroca José, J M</creatorcontrib><creatorcontrib>Escrig Sos, J</creatorcontrib><creatorcontrib>Paiva Coronel, G</creatorcontrib><creatorcontrib>Alcalde Sánchez, M</creatorcontrib><creatorcontrib>Salvador Sanchís, J L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Revista española de enfermedades digestivas</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez Ramos, D</au><au>Daroca José, J M</au><au>Escrig Sos, J</au><au>Paiva Coronel, G</au><au>Alcalde Sánchez, M</au><au>Salvador Sanchís, J L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gallstone ileus: management options and results on a series of 40 patients</atitle><jtitle>Revista española de enfermedades digestivas</jtitle><addtitle>Rev Esp Enferm Dig</addtitle><date>2009-02</date><risdate>2009</risdate><volume>101</volume><issue>2</issue><spage>117</spage><epage>120</epage><pages>117-120</pages><issn>1130-0108</issn><eissn>1130-0108</eissn><abstract>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.
Retrospective and descriptive study with revision of clinical stories of patients with the diagnosis of gallstone ileus between 1987 and 2008. All the following variables were recorded: dates of hospital admission, surgery and discharge, age, sex, pathological antecedents, preoperative or intraoperative diagnosis, treatment, location of the fistula and location of the obstruction. End-result variables were: postoperative complications, mortality, complications during the follow-up and biliary complications.
A total of 40 patients were included of 46,648 admissions. Age, comorbidity, and intraoperative diagnosis were related with poorer short- and long-outcomes. The percentage of postoperative complications was similar for groups with and without fistula repair. Mortality was higher in the group with fistula repair (15 vs. 25%). Biliary complications were more frequent in the group without fistula repair (11 vs. 0%). Sex, location of the fistula and location of the obstruction did not be related with the prognosis.
One-stage procedure is related with higher mortality rate than enterotomy alone. Nevertheless, fistula repair reduces the number of biliary complications during the follow-up.</abstract><cop>Spain</cop><pub>Sociedad Española de Patología Digestiva</pub><pmid>19335047</pmid><doi>10.4321/s1130-01082009000200005</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anastomosis, Surgical Biliary Fistula - complications Biliary Fistula - surgery Cholecystectomy Comorbidity Digestive System Surgical Procedures - statistics & numerical data Duodenal Obstruction - epidemiology Duodenal Obstruction - etiology Duodenal Obstruction - surgery Duodenal Obstruction - therapy Female Fluid Therapy Gallstones Gastroenterology & Hepatology Geriatrics & Gerontology Humans Ileal Diseases - epidemiology Ileal Diseases - etiology Ileal Diseases - surgery Ileal Diseases - therapy Ileus - epidemiology Ileus - etiology Ileus - surgery Ileus - therapy Infectious Diseases Intestinal Fistula - complications Intestinal Fistula - surgery Intubation, Gastrointestinal Jejunal Diseases - epidemiology Jejunal Diseases - etiology Jejunal Diseases - surgery Jejunal Diseases - therapy Length of Stay Male Middle Aged Oncology Pathology Pharmacology & Pharmacy Postoperative Complications - epidemiology Radiology, Nuclear Medicine & Medical Imaging Retrospective Studies Surgery Treatment Outcome |
| title | Gallstone ileus: management options and results on a series of 40 patients |
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