Cholelithiasis and urolithiasis in ileostomy patients.
Terminal ileostomy is at present less frequently performed in favour of the use of surgical techniques which allow for the maintenance of continence. The problem of long-term metabolic complications is still open, though it has been stated that 1 year postoperatively, the life expectancy of ileostomy patients is similar to that of the general population. The series here reported consists of 13 patients only, however the increased risk of cholelithiasis and urolithiasis in ileostomy patients can be confirmed (15.4% in this study). These complications should be carefully examined in the follow-up of patients: while cholelithiasis cannot be prevented, for early diagnosis liver scanning every 24-36 months is advisable. As for urolithiasis, the patients should be encouraged to drink large amounts of water daily. Water does not cause an increase in ileostomy output while allowing a satisfactory renal flow. For early diagnosis direct abdominal X-ray with renal tomography every 24-36 months is suggested. In case of suspected kidney or ureteral stones, perfusion urography should be performed.
Giunchi
F
F
Divisione Chirurgica, Ospedale M. Bufalini, USL, Cesena.
Balbi
B
B
Giulianini
G
G
Cacciaguerra
G
G
D000328:Adult; D000368:Aged; D002769:Cholelithiasis / Q000209:etiology*; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D014545:Urinary Calculi / Q000209:etiology*