Kasahara Y, Umemura H, Shiraha S, Kuyama T, Sakata K, Kubota H
Am J Surg. 1980 Sep;140(3):437-40. doi: 10.1016/0002-9610(80)90185-3.
A survey was made of 112 cases of gallstone ileus reported in the Japanese literature, including 3 of our cases. The ratio of males to females was 1 to 1.1, the age range was 13 to 87 years, and biliary-enteric fistulas were demonstrated in 81 percent of the patients. Although cholecystoduodenal fistula was most common, eight cases of choledochoduodenal fistula were reported. Sixteen patients passed obstructing gallstones through a patulous sphincter of Oddi. The ileum was occluded in 54 percent of the cases. Duodenal obstruction was seen in 10 percent. There was no operative mortality in seven patients treated with enterolithotomy, subsequent cholecystectomy and repair of the fistula, whereas a mortality rate of 19 percent followed the one-stage procedure.
对日本文献报道的112例胆石性肠梗阻病例进行了调查，其中包括我们的3例病例。男女比例为1:1.1，年龄范围为13至87岁，81%的患者存在胆肠瘘。虽然胆囊十二指肠瘘最为常见，但也报道了8例胆总管十二指肠瘘。16例患者通过松弛的Oddi括约肌排出阻塞性胆结石。54%的病例回肠发生梗阻。10%的病例出现十二指肠梗阻。7例接受肠石切除术、随后的胆囊切除术和瘘管修复术的患者无手术死亡，而一期手术的死亡率为19%。
