title: Laparoscopic and ultrasound assisted management of gallstone ileus after biliointestinal bypass Case report and a review of literature.
abstract: OBJECTIVE
  To report about an additional case of biliary ileus after bariatric surgery is reported and extensively reviewing the literature on this topic.
  
  
  METHODS
  We reviewed the literature and found three cases of gallstone ileus (GI) that occurred after bariatric surgery.
  
  
  CONCLUSIONS
  A 41 year old patient presented a GI eight years after a biliointestinal bypass (BIB) for morbid obesity. The patient complained of abdominal pain for two weeks. Computed tomography (CT) and abdominal ultrasound (US) allowed a preoperative diagnosis of GI and planning of surgical strategy. Surgical treatment was carried out through laparoscopic-assisted enterolithotomy alone procedure. This choice is supported discussing the related issues: morbidity, potential recurrence, eventual developing of gallbladder carcinoma.
  
  
  CONCLUSIONS
  It is the first reported case of GI after BIB preoperatively diagnosed through CT scan and US, and treated with a laparoscopic assisted approach. Additional considerations concerning preoperative diagnosis, surgical strategy, technical details and follow-up can be usefully applied even in non post-bariatric biliary ileus.
  
  
  BACKGROUND
  Biliointestinal bypass, Gallstone ileus, Laparoscopy, Ultrasonography.
authors.forename: Mauro
authors.initials: M
authors.lastname: Zago
authors.forename: Samantha
authors.initials: S
authors.lastname: Bozzo
authors.forename: Andrea
authors.initials: A
authors.lastname: Centurelli
authors.forename: Alessandro
authors.initials: A
authors.lastname: Giovanelli
authors.forename: Michele Ciocca
authors.initials: MC
authors.lastname: Vasino
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D050110:Bariatric Surgery; D061887:Conversion to Open Surgery; D004630:Emergencies; D005260:Female; D005704:Gallbladder / Q000601:surgery; D042882:Gallstones / Q000150:complications*; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007583:Jejunum / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000379:methods