Colović R, Bilanović D, Arsov V
Acta Chir Iugosl. 1990;37(2):213-22.
In the period 1946-1987 at the former Second Surgical Clinic of the Medical Faculty in Belgrade 25 patients with a biliary ileus were Surgically treated, 20 females (80%), and 5 males (20%), aged from 53 to 87 years, (mean 67 years). Six patients were decade, 7 in 7th, 9 in 8th, and 3 in 9th decade. In only 8 patients biliary calculosis had been confirmed earlier. Preoperative troubles in the Bowel Passage lasted 1-7 days, (mean 3 days), mostly as in incomplete gut occlusion. Preoperative diagnosis of the biliary ileus, using x-ray, was exact only in 3 cases (12%), while other remaining patients underwent Surgery diagnosed as ileus of the small bowel or acute abdomen. In 7 patients a stone obstructed the jejunum, in 6 ones its widpart and in 10 cases the terminal ileum. In 23 patients an enterotomy distally to the obstruction with an expulsion-extraction was done, in one patient a partial resection of the gut and in another patient a manual stone expulsion into the colon, with no enterotomy, was carried out, and after operation the stone was removed from the rectum. The Bilio-digestive fistula was never treated either the surgery itself, or later. Complications arised in 13 patients: wound infection in 11, deep thrombophlebitis in one and a pneumonia in two patients. An average hospitalization was 27 days, and all patients Survived.
1946年至1987年期间，在贝尔格莱德医学院前第二外科诊所，对25例胆石性肠梗阻患者进行了手术治疗，其中女性20例（80%），男性5例（20%），年龄在53岁至87岁之间（平均67岁）。6例患者处于第六个十年，7例处于第七个十年，9例处于第八个十年，3例处于第九个十年。只有8例患者此前已确诊胆石症。肠道排便术前问题持续1至7天（平均3天），大多表现为不完全性肠梗阻。术前通过X线对胆石性肠梗阻的诊断仅在3例（12%）中准确，而其余患者接受手术时被诊断为小肠肠梗阻或急腹症。7例患者结石阻塞空肠，6例阻塞其宽阔部分，10例阻塞回肠末端。23例患者在梗阻远端进行肠切开术并排出取出结石，1例患者进行了部分肠切除术，另1例患者未进行肠切开术，将结石手法推入结肠，术后结石从直肠排出。胆肠瘘无论在手术时还是术后均未进行处理。13例患者出现并发症：11例伤口感染，1例深部血栓性静脉炎，2例肺炎。平均住院时间为27天，所有患者均存活。
