Stempfle B, Diamantopoulos G
Fortschr Med. 1976 Mar 11;94(8):444-7.
A case of spontaneous cholecysto-gastric fistula is reported with penetration of a gallstone into the stomach leading to massive haemorrhage of gastric mucosa. The gallstone was removed endoscopically, the immanent complication of gallstone ileus could be eliminated. Mucosal bleeding was stopped by conservative methods, and thus enough time was won for optimal preparation for the ensuing operation. The problems of preoperative diagnosis are mentioned, also rate and early complications of spontaneous bilio-digestive fistulae and their poor prognosis concerning the increased letality at operation.
本文报道了一例自发性胆囊胃瘘病例，胆结石穿入胃内导致胃黏膜大量出血。通过内镜取出胆结石，消除了胆结石性肠梗阻这一潜在并发症。采用保守方法止住了黏膜出血，从而为后续手术的最佳准备赢得了足够时间。文中提到了术前诊断问题，以及自发性胆-消化道瘘的发生率、早期并发症，及其在手术中致死率增加导致的预后不良情况。
