Acute Intestinal Obstruction Due To Gallstone Ileus [abdome Agudo Por Obstrução Por Ileobiliar]

dc.creatorde Alencastro M.C.
dc.creatorCardoso K.T.
dc.creatorMendes C.A.
dc.creatorBoteon Y.L.
dc.creatorde Carvalho R.B.
dc.creatorFraga G.P.
dc.date2013
dc.date2015-06-25T19:14:46Z
dc.date2015-11-26T15:12:20Z
dc.date2015-06-25T19:14:46Z
dc.date2015-11-26T15:12:20Z
dc.date.accessioned2018-03-28T22:22:23Z
dc.date.available2018-03-28T22:22:23Z
dc.identifier
dc.identifierRevista Do Colegio Brasileiro De Cirurgioes. , v. 40, n. 4, p. 275 - 280, 2013.
dc.identifier1006991
dc.identifier10.1590/S0100-69912013000400004
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84887112395&partnerID=40&md5=dcbbd122a92b82f7b80327906a890fff
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/89131
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/89131
dc.identifier2-s2.0-84887112395
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1258351
dc.descriptionObjective: Small bowel obstruction (SBO) due to gallstones (gallstone ileus) is an uncommon complication of cholelithiasis, for which there is no defined surgical procedure. The objective of this study was to perform a systematic review of the history, available image exams and clinical approach to the diagnosis and treatment of gallstone ileus. Method: We conducted a retrospective study in a university hospital including all cases of SBO treated over a period of 23 years. According to the surgical treatment, the patients were divided into two groups: (1) enterolithotomy with posterior cholecystectomy (two-stage surgery); and (2) enterolithotomy, cholecystectomy and fistula closure (one-stage surgery). Results: Twelve patients were included in the study, including 11 females (91,6%), with a mean age of 72.2 years. All patients presented associated diseases, mainly arterial hypertension (75%). All except one patient had multiple SBO symptoms. Gallstone ileus diagnosis was made before laparotomy in six patients (50%). There were eight patients in group 1 and four in group 2, and the morbidity was, respectively, 33.3% and 8.3%. Overall mortality was 16.6% (one patient in each group). Conclusion: Gallstone ileus should be suspected in the elderly with SBO symptoms. Early diagnosis can reduce post-operative complications. Treatment is urgent laparotomy and the surgical approach must be individualized for each case. The majority of patients in this study were treated with enterolithotomy, with cholecystectomy being performed later in two symptomatic patients.
dc.description40
dc.description4
dc.description275
dc.description280
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dc.languageen
dc.languagept
dc.publisher
dc.relationRevista do Colegio Brasileiro de Cirurgioes
dc.rightsaberto
dc.sourceScopus
dc.titleAcute Intestinal Obstruction Due To Gallstone Ileus [abdome Agudo Por Obstrução Por Ileobiliar]
dc.typeArtículos de revistas


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