title: Gallbladder Stones Following Ileal Resection for Gangrenous Intussusceptions: A Follow-up Study.
abstract: BACKGROUND
  Intussusceptions are the most common causes of bowel obstruction in infancy and childhood in this environment they present late, resulting in gangrene of the intussusception consequently resection of the affected bowel and a limited or extended right hemicolectomy (RH) to establish bowel continuity.
  
  
  OBJECTIVE
  The aim of the following study is to follow-up these children that had a limited ileal resection for gangrenous intussusceptions and document the formation of stones in their gallbladders.
  
  
  METHODS
  A total of 14 patients who had limited ileal resection during infancy for gangrenous intussusceptions were matched with sixteen patients who had manual reduction for viable intussusceptions during infancy. Both groups had ultrasound scans of their gallbladders to document the formation of stones in their gallbladders.
  
  
  RESULTS
  No gallbladder stones were found in both groups, however, one male child that had a resection and a RH for a gangrenous intussusception at the age of 4 months and was seen at an interval of 72 months had a thickened gallbladder on ultrasonography, another child, a female child operated on at the age of 6 months and seen at an interval of 57 months also had a thickened gallbladder on ultrasonography.
  
  
  CONCLUSIONS
  Although no stones were seen, we suggest a prolonged follow-up of these patients with either periodic ultrasonography of the their gallbladders or with the periodic estimation of their serum bile acids.
authors.affiliation: Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
authors.forename: Roland Iheanyichukwu
authors.initials: RI
authors.lastname: Osuoji
authors.affiliation: Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
authors.forename: Babajide Olawale
authors.initials: BO
authors.lastname: Balogun
authors.affiliation: Department of Radiology, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
authors.forename: Olatunbosun Olabode
authors.initials: OO
authors.lastname: Olofinlade
keywords: Cholelithiasis; gangrenous childhood intussusceptions; limited ileal resection