Management and outcome of recurrent gallstone ileus: A systematic review

World Journal of Gastrointestinal Surgery
Shovkat Ahmad MirSrinivas Chintapatla

Abstract

To help the surgeon in decision making when treating a patient with recurrent gallstone ileus (RGSI). A systematic review related to RGSI was performed using the databases CINAHL, EMBASE, MEDLINE via PubMed from May 1912 to April 2015. All languages were included and the grey literature was also searched. The abstracts were explored for relevance to the topic and full texts obtained as appropriate. A manual search was carried out by scrutinising the reference lists of all the full text articles and further articles were identified and obtained. Total of 903 articles were identified, 656 were excluded after abstract review, 247 full text articles were reviewed and 91 articles selected for final analysis. There were 113 cases of RGSI. There were 113 cases of RGSI reported in 91 articles. The majority of the recurrences, 62.6%, occurred within 6 wk of the index event. The male to female ratio was 1:7. The mean age was 69.6 years (SD 11.2) with a range of 38-95 years. The small bowel was the commonest site of impaction (92.2%). Treatment data was available for 104 patients. The two main operations performed were: (1) Enterolithotomy without repair of biliary fistula in 70.1% of all patients with a procedural mortality rate of 16.4%...Continue Reading

Citations

Apr 6, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·James W T TohPeter Stewart
Dec 10, 2016·World Journal of Gastrointestinal Surgery·Harveen K LambaAjita Prabhu
May 26, 2018·Minerva chirurgica·Enrico ErdasPietro G Calò
Dec 21, 2019·Annals of the Royal College of Surgeons of England·G SinghD Veeramootoo
Apr 13, 2019·Acute Medicine & Surgery·Mohamed A Rabie, Ashraf Sokker
Dec 26, 2019·BMJ Open Gastroenterology·Koichi Inukai

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