Bakhshi Girish D, Chincholkar Rajesh G, Agarwal Jasmine R, Gupta Madhukar R, Gokhe Prachiti S, Nadkarni Amogh R
Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, India.
Clin Pract. 2017 Aug 1;7(3):977. doi: 10.4081/cp.2017.977. eCollection 2017 Jun 7.
Gallstone ileus is a mechanical intestinal obstruction caused due to impaction of a large gallstone within the bowel. The ideal treatment of gallstone ileus remains controversial, with the main dilemma being between a one-stage and a two-stage surgical procedure. A 69-year old male patient presented with gallstone ileus. A one-stage procedure with enterolithotomy and primary closure of duodenal fistula was done. His immediate postoperative recovery was uneventful, but after 3 weeks of surgery, he developed respiratory complications and expired of multi-organ failure. In gallstone ileus, patient presents with symptoms of intestinal obstruction. Enterolithotomy alone remains the most common operative method, but the definitive surgical management is still under research. An intraoperative dilemma between a one-stage or two-stage surgery is difficult to resolve in absence of clear guidelines. Hence, more studies are required to come to a consensus in deciding its definitive management.
胆石性肠梗阻是由于一颗大的胆结石嵌顿在肠道内而引起的机械性肠梗阻。胆石性肠梗阻的理想治疗方法仍存在争议，主要困境在于一期手术和二期手术之间。一名69岁男性患者出现胆石性肠梗阻。实施了一期肠石切除术并一期缝合十二指肠瘘的手术。他术后立即恢复顺利，但术后3周，他出现了呼吸并发症，最终因多器官衰竭死亡。在胆石性肠梗阻中，患者表现出肠梗阻症状。单独的肠石切除术仍然是最常见的手术方法，但最终的手术治疗仍在研究中。在缺乏明确指南的情况下，一期手术还是二期手术的术中困境难以解决。因此，需要更多的研究来就其最终治疗达成共识。
