title: [Management of small bowel obstruction caused by a gallstone].
abstract: Bowel obstruction caused by a gallstone is a rare pathology in the abdomen. The high mortality associated with this condition has prompted the authors to present their experience over the past two years against the background of published case reports. This paper presents three different ways of management of gallstone ileus: enterolithotomy; two-stage surgery--enterolithotomy followed by cholecystectomy; one-stage surgery--enterolithotomy combined with cholecystectomy and fistula repair. The authors report on a case which was successfully managed with enterolithotomy only and discuss arguments in favor of each procedure. Enterolithotomy appears to be the safest approach in gallstone ileus, leaving time to qualify the patient for further surgery on the basis of clinical status and symptoms.
authors.affiliation: Oddział Kliniczny Chirurgii Przewodu Pokarmowego Pomorskiego Uniwersytetu Medycznego w Szczecinie, ul. Unii Lubelskiej 1, 71-252 Szczecin.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Grzeszewski
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Zietek
authors.forename: Andrzej
authors.initials: A
authors.lastname: Zyluk
authors.forename: Maciej
authors.initials: M
authors.lastname: Zalewski
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Gerlecki
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Stańko
authors.forename: Klaudia
authors.initials: K
authors.lastname: Winiecka-Socha
authors.forename: Marek
authors.initials: M
authors.lastname: Kamiński
mesh_terms: D000368:Aged; D002763:Cholecystectomy; D013505:Digestive System Surgical Procedures; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery*; D008297:Male; D008875:Middle Aged