Gallstone ileus--results and problems of surgical therapy
Jarling, J.; Lorenz, D.; Schimming, A.
Zentralblatt für Chirurgie 113(13): 855-859
1988
ISSN/ISBN: 0044-409X PMID: 3176729 Document Number: 308130
Reported in this paper are 15 patients with gall-stone ileus, between 1976 and 1986. The authors' results are summarised, with reference being made to problems of diagnosis and therapy. In preoperative ileus diagnosis, attention should be given to calculi outside the gallbladder and bile ducts, and the diagnosis should be secured by aerobilia. Opening of the intestine aboral from the occlusion, removal of calculi, and relief of intestinal distension is considered to be a preferential surgical approach. Synchronised surgical treatment of the bile system cannot be recommended.