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Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass
Patient: Male, 48 Final Diagnosis: Gallstone ileus in biliointestinal bypass Symptoms: Abdominal pain • jaundice • vomiting Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Biliointestinal bypass is a malabsorptive procedure for surgical treatment...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6621931/ https://www.ncbi.nlm.nih.gov/pubmed/31326973 http://dx.doi.org/10.12659/AJCR.916111 |
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author | Micheletto, Giancarlo Piozzi, Guglielmo Niccolò Panizzo, Valerio Reitano, Elisa Tringali, Domenico Pontiroli, Antonio Ettore |
author_facet | Micheletto, Giancarlo Piozzi, Guglielmo Niccolò Panizzo, Valerio Reitano, Elisa Tringali, Domenico Pontiroli, Antonio Ettore |
author_sort | Micheletto, Giancarlo |
collection | PubMed |
description | Patient: Male, 48 Final Diagnosis: Gallstone ileus in biliointestinal bypass Symptoms: Abdominal pain • jaundice • vomiting Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Biliointestinal bypass is a malabsorptive procedure for surgical treatment of morbid obesity. It is the evolution of jejunoileal bypass, and it is characterized by a cholecysto-jejunostomy on the proximal end of the excluded jejunum, therefore, allowing bile flow through the excluded bowel loop reducing the risk of postoperative diarrhea and malabsorption syndrome. Obesity is a well-known risk factor for cholelithiasis; moreover, bariatric surgery has been showed to increases the risk of gallstones formation. CASE REPORT: A 48-years-old male (body mass index 42 kg/m(2)) received a laparoscopic biliointestinal bypass. Nine years later, the patient received a cholecystotomy for removal of biliary stones. No surgical procedures were performed on the cholecysto-jejunostomy. Fourteen years after the bariatric treatment, the patient underwent enterolithotomy after a diagnosis of gallstone ileus. The impacted biliary stone was documented in the excluded loop proximal to the anti-reflux valvular system. The postoperative course and 1-year follow-up were uneventful. CONCLUSIONS: Few cases of gallstone ileus following biliointestinal bypass have been described in the literature. We report a new case and also propose few tips and tricks for cholelithiasis and gallstone ileus prevention after biliointestinal bypass. |
format | Online Article Text |
id | pubmed-6621931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66219312019-07-30 Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass Micheletto, Giancarlo Piozzi, Guglielmo Niccolò Panizzo, Valerio Reitano, Elisa Tringali, Domenico Pontiroli, Antonio Ettore Am J Case Rep Articles Patient: Male, 48 Final Diagnosis: Gallstone ileus in biliointestinal bypass Symptoms: Abdominal pain • jaundice • vomiting Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Biliointestinal bypass is a malabsorptive procedure for surgical treatment of morbid obesity. It is the evolution of jejunoileal bypass, and it is characterized by a cholecysto-jejunostomy on the proximal end of the excluded jejunum, therefore, allowing bile flow through the excluded bowel loop reducing the risk of postoperative diarrhea and malabsorption syndrome. Obesity is a well-known risk factor for cholelithiasis; moreover, bariatric surgery has been showed to increases the risk of gallstones formation. CASE REPORT: A 48-years-old male (body mass index 42 kg/m(2)) received a laparoscopic biliointestinal bypass. Nine years later, the patient received a cholecystotomy for removal of biliary stones. No surgical procedures were performed on the cholecysto-jejunostomy. Fourteen years after the bariatric treatment, the patient underwent enterolithotomy after a diagnosis of gallstone ileus. The impacted biliary stone was documented in the excluded loop proximal to the anti-reflux valvular system. The postoperative course and 1-year follow-up were uneventful. CONCLUSIONS: Few cases of gallstone ileus following biliointestinal bypass have been described in the literature. We report a new case and also propose few tips and tricks for cholelithiasis and gallstone ileus prevention after biliointestinal bypass. International Scientific Literature, Inc. 2019-07-10 /pmc/articles/PMC6621931/ /pubmed/31326973 http://dx.doi.org/10.12659/AJCR.916111 Text en © Am J Case Rep, 2019 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Micheletto, Giancarlo Piozzi, Guglielmo Niccolò Panizzo, Valerio Reitano, Elisa Tringali, Domenico Pontiroli, Antonio Ettore Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass |
title | Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass |
title_full | Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass |
title_fullStr | Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass |
title_full_unstemmed | Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass |
title_short | Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass |
title_sort | key points for cholelithiasis and gallstone ileus prevention following biliointestinal bypass |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6621931/ https://www.ncbi.nlm.nih.gov/pubmed/31326973 http://dx.doi.org/10.12659/AJCR.916111 |
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