Gallstone ileus as a cause of upper intestinal obstruction

Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chroni...

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Main Authors: Israel Szajnbock, Fernando Lorenzi, Aldo Junqueira Rodrigues Jr., Luis Fernando Correa Zantut, Renato Sérgio Poggetti, Eliana Steinman, Dario Birolini
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000400009&lng=en&tlng=en
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author Israel Szajnbock
Fernando Lorenzi
Aldo Junqueira Rodrigues Jr.
Luis Fernando Correa Zantut
Renato Sérgio Poggetti
Eliana Steinman
Dario Birolini
author_facet Israel Szajnbock
Fernando Lorenzi
Aldo Junqueira Rodrigues Jr.
Luis Fernando Correa Zantut
Renato Sérgio Poggetti
Eliana Steinman
Dario Birolini
author_sort Israel Szajnbock
collection DOAJ
description Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.
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spelling doaj.art-6ac141a83ff94a6b91db00658d93917a2022-12-21T18:46:58ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-946011441239124310.1590/S1516-31801996000400009S1516-31801996000400009Gallstone ileus as a cause of upper intestinal obstructionIsrael Szajnbock0Fernando Lorenzi1Aldo Junqueira Rodrigues Jr.2Luis Fernando Correa Zantut3Renato Sérgio Poggetti4Eliana Steinman5Dario Birolini6Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloGallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000400009&lng=en&tlng=enIntestinal obstructionGallstone ileusCholecystenteric (biliary-enteric) fistula
spellingShingle Israel Szajnbock
Fernando Lorenzi
Aldo Junqueira Rodrigues Jr.
Luis Fernando Correa Zantut
Renato Sérgio Poggetti
Eliana Steinman
Dario Birolini
Gallstone ileus as a cause of upper intestinal obstruction
São Paulo Medical Journal
Intestinal obstruction
Gallstone ileus
Cholecystenteric (biliary-enteric) fistula
title Gallstone ileus as a cause of upper intestinal obstruction
title_full Gallstone ileus as a cause of upper intestinal obstruction
title_fullStr Gallstone ileus as a cause of upper intestinal obstruction
title_full_unstemmed Gallstone ileus as a cause of upper intestinal obstruction
title_short Gallstone ileus as a cause of upper intestinal obstruction
title_sort gallstone ileus as a cause of upper intestinal obstruction
topic Intestinal obstruction
Gallstone ileus
Cholecystenteric (biliary-enteric) fistula
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000400009&lng=en&tlng=en
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