title: [Gallstone ileus--is it possible to reduce the still high mortality rate? An analysis of personal cases and review of the literature].
abstract: Acute intestinal obstruction caused by gallstones: we report about our own experience with 13 patients and discuss this topic by referring to the current literature. Since there is indeed a tendency towards multimorbidity in our high-aged population, a gallstone ileus should always be included in the differential diagnosis of acute intestinal obstruction in the elderly. We put emphasis on a less traumatic operative procedure (enterolithotomy). Good results can be achieved (in terms of postoperative mortality) by operating at the early onset of symptoms.
authors.affiliation: Chirurgische Universitätsklinik Bochum.
authors.forename: J
authors.initials: J
authors.lastname: Kozianka
authors.forename: W
authors.initials: W
authors.lastname: Kozuschek
authors.forename: K M
authors.initials: KM
authors.lastname: Edelmann
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002769:Cholelithiasis / Q000401:mortality* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000401:mortality* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012307:Risk Factors
vernacular_title: Zum Gallensteinileus--ist die noch hohe Letalität weiter zu senken? Eine Analyse eigener Fälle und Literaturübersicht.