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      Gallstone ileus, clinical presentation, diagnostic and treatment approach.

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          Abstract

          Gallstone ileus is a mechanical intestinal obstruction due to gallstone impaction within the gastrointestinal tract. Less than 1% of cases of intestinal obstruction are derived from this etiology. The symptoms and signs of gallstone ileus are mostly nonspecific. This entity has been observed with a higher frequency among the elderly, the majority of which have concomitant medical illness. Cardiovascular, pulmonary, and metabolic diseases should be considered as they may affect the prognosis. Surgical relief of gastrointestinal obstruction remains the mainstay of operative treatment. The current surgical procedures are: (1) simple enterolithotomy; (2) enterolithotomy, cholecystectomy and fistula closure (one-stage procedure); and (3) enterolithotomy with cholecystectomy performed later (two-stage procedure). Bowel resection is necessary in certain cases after enterolithotomy is performed. Large prospective laparoscopic and endoscopic trials are expected.

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          Author and article information

          Journal
          World J Gastrointest Surg
          World journal of gastrointestinal surgery
          Baishideng Publishing Group Inc.
          1948-9366
          Jan 27 2016
          : 8
          : 1
          Affiliations
          [1 ] Carlos M Nuño-Guzmán, Department of General Surgery, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara CP 44280, Jalisco, México.
          Article
          10.4240/wjgs.v8.i1.65
          4724589
          26843914
          6577513e-3050-4a9d-ba13-c348fbfd85d8
          History

          Endoscopic treatment,Gallstone ileus,Intestinal obstruction,Laparoscopic surgery,Bouveret’s syndrome

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