[Diagnosis and treatment of acute intestinal obstruction due to gall-stone].
Results of treatment of 43 patients with acute intestinal obstruction due to gall-stones are analyzed. Forty patients were operated, 3 patients were not because of extremely severe state. Enterolythotomy was performed in 27 cases, incision of intestinal wall was carried out directly above the stones (14 cases, group 1), above or below it (13 cases, group 2). Insufficiency of enteral suture was seen in 4 patients of group 1 that required repeated surgery. Lethality in group 1 was 21.4%, in group 2-7.1%. Intestinal resection was performed in 12 patients of group 3, there were no cases of suture insufficiency, and lethality was 8.3%. It is concluded that enterotomy should be performed above or below strangulated stone. Intestinal resection should be performed when concrement is immovable or in cases of intestinal necrosis.
Iu P
IuP
Popov
V A
VA
Eremeev
M S
MS
Skopin
A Sh
ASh
Khasan
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D042882:Gallstones / Q000150:complications* / Q000601:surgery; D006760:Hospitalization; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D007902:Length of Stay; D008875:Middle Aged; D013997:Time Factors