title: [Biliary ileus: enterolithotomy only or radical surgery?].
abstract: Eleven patients, 8 women and 3 men, mean age 69.9 years (range 54-81) were operated with a gallstone ileus during a seven years period. Echography and barium study of small bowel were made in 8 and 2 patients, and gave a diagnostic rate of 37% and 100%, respectively. A preoperative diagnosis was made in 72.2% of cases, simple enterolithotomy was made in 8 cases and in three cases a definitive treatment of biliary pathology was added. There was no mortality and a major complication was observed in 1 patient without biliary surgery (evisceration and recurrence of biliary ileus); no major complications were seen in patients with primary biliary surgery. With a careful, selection, surgery can be made without mortality nor morbidity.
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Universitario de Valme, Sevilla.
authors.forename: M P
authors.initials: MP
authors.lastname: Sevilla Molina
authors.forename: J M
authors.initials: JM
authors.lastname: Sánchez Blanco
authors.forename: L
authors.initials: L
authors.lastname: Escribano Negueruela
authors.forename: D
authors.initials: D
authors.lastname: Gómez Rubio
authors.forename: G
authors.initials: G
authors.lastname: Recio Moyano
authors.forename: P
authors.initials: P
authors.lastname: Campoy Martínez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001649:Bile Duct Diseases / Q000150:complications / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery*; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods
vernacular_title: Ileo biliar: sólo enterolitotomía o cirugía definitiva?