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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Rev. Col. Bras. Cir. vol.27 no.6 Rio de Janeiro Nov./Dec. 2000

http://dx.doi.org/10.1590/S0100-69912000000600012 

RELATOS DE CASOS

 

Íleo biliar: enterolitotomia videoassistida

 

Gallstone ileus: videoassisted enterolithotomy

 

 

Álvaro Queiroz de Godoy, TCBC-PRI; Oscar Tecla JuniorII; André Reichert da Silva GodoyIII

ICirurgião do Aparelho Digestivo do Hospital Evangélico, Santa Casa de Misericórdia e Gastrocentro de Londrina - PR
IIGastroenterologista do Hospital Evangélico, Santa Casa de Misericórdia e Gastrocentro de Londrina - PR
IIIAcadêmico da Faculdade de Medicina da Fundação Educacional Serra dos Órgãos - Teresópolis - RJ

Endereço para correspondência

 

 


ABSTRACT

Treatment, morbidity and mortality of patients with gallstone ileus depend on an accurate diagnosis made in time, and also on a more adequate therapeutic option.A detailed clinical evaluation is fundamental for such diagnosis. Complementary exams like a simple radiological study of the abdomen, high and low endoscopies, an ultrasonography, and a tomography can also be performed. The therapeutic options include the removal of the obstructive factor separately, the performance of a treatment in two separate stages, or the performance of a complete treatment (removal of the calculus, cholecystectomy, and the closing of the fistula).This study aims to present a case report of an elderly man of high surgical risk, presenting gallstone ileus. He was submitted to an isolated videoassisted enterolithotomy through a minilaparotomy. Taking into consideration the patient’s advanced age and the lack of evidence as to other biliary associated pathologies, the chosen treatment seemed to be a good alternative. The evolution was good, and after an 8 month follow-up the patient was found well and with no biliary symptoms whatsoever.

Key words: Gallstone Ileus; Biliary enteric fistula; Diagnosis; Therapy.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. Rodriguez-Sanjuan JC, Casado F, Fernandez MJ et al. – Cholecystectomy and fistula closure versus enterolithotomy alone in gallstone ileus. Br J Surg 1997 ; 84 (5) : 634 - 637.         [ Links ]

2. Schumacher G, Keck H, Neuhaus P. – Die cholecystoduodenale Fistel mit nachfolgendem Gallensteinileus: Fallbeschreibung eines ungewöhnlichen Verlaufs. Zentralbl Chir Leipzig 1996; 121 (5) : 408-411.         [ Links ]

3. Pérez-Morera A, Pérez-Díaz D, Calvo Serrano M, et al. – Obstrucción aguda de colon secundaria a litiasis biliar. Rev Esp Enf Digest 1996; 88 (11): 805-808.         [ Links ]

4. Kosorok P – Bouveret’s Syndrome ( Gallstone ileus ) – a minefield. Br J Clin Pract 1996; 50 (1): 59-60.         [ Links ]

5. Oikarinen H, Päivänsalo M, Tikkakoski T, Saarela A – Radiological findings in biliary fistula and gallstone ileus. Acta Radiologica 1996; 37 (6) : 917-922.         [ Links ]

 

 

Endereço para correspondência:
Dr. Álvaro Queiroz de Godoy
Av. Bandeirantes, 324
86010-010 - Londrina – PR

Recebido em 7/12/1199
Aceito para publicação em 29/5/2000

 

 

Trabalho realizado no Gastrocentro de Londrina-PR

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