Case series of gallstone ileus: only enterolitotomy, one stage or two stage surgery?
DOI:
https://doi.org/10.18203/2320-6012.ijrms20232114Keywords:
Gallstone Ileus, Bowel obstruction, LaparotomyAbstract
Biliary ileus is a rare disease and an infrequent cause of intestinal obstruction, occasionally occurs in frail elderly patients and has a certain predilection for the female sex. The diagnosis is complex and requires a high clinical suspicion and complementary examinations such as abdominal radiography and contrasted abdominal tomography. Treatment should be individualized according to the clinical characteristics of each patient, with the alternatives being resolution only by enterolithotomy, one stage surgery and two stage surgery. We report 3 cases of biliary ileus, each one managed with a different surgical procedure. The decision was aimed at resolving the intestinal obstruction by enterolithotomy, and the definitive management was performed according to the clinical characteristics of each patient; however, there is no consensus or algorithm that recommends the ideal surgical technique. The recommended surgical procedure for the resolution of biliary ileus will be discussed.
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