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Gallstone ileus,clinical presentation,diagnostic and treatment approach 被引量:10
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作者 carlos m nuno-guzmán maría eugenia marín-contreras +1 位作者 mauricio figueroa-sánchez jorge l corona 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2016年第1期65-76,共12页
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 sig... 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. 展开更多
关键词 INTESTINAL OBSTRUCTION Bouveret's SYNDROME LAPAROSCOPIC surgery ENDOSCOPIC treatment gallstoneileus
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