Acessibilidade / Reportar erro

Íleo biliar: enterolitotomia videoassistida

Gallstone ileus: videoassisted enterolithotomy

Resumo

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.

Gallstone Ileus; Biliary enteric fistula; Diagnosis; Therapy


Gallstone Ileus; Biliary enteric fistula; Diagnosis; Therapy

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

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.

Recebido em 7/12/1199

Aceito para publicação em 29/5/2000

Trabalho realizado no Gastrocentro de Londrina-PR

  • 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.
  • 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.
  • 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.
  • 4. Kosorok P Bouverets Syndrome ( Gallstone ileus ) a minefield Br J Clin Pract 1996; 50 (1): 59-60.
  • 5. Oikarinen H, Päivänsalo M, Tikkakoski T, Saarela A Radiological findings in biliary fistula and gallstone ileus Acta Radiologica 1996; 37 (6) : 917-922.
  • Endereço para correspondência:

    Dr. Álvaro Queiroz de Godoy
    Av. Bandeirantes, 324
    86010-010 - Londrina – PR
  • Datas de Publicação

    • Publicação nesta coleção
      18 Dez 2008
    • Data do Fascículo
      Dez 2000

    Histórico

    • Recebido
      07 Dez 1999
    • Aceito
      29 Maio 2000
    Colégio Brasileiro de Cirurgiões Rua Visconde de Silva, 52 - 3º andar, 22271- 090 Rio de Janeiro - RJ, Tel.: +55 21 2138-0659, Fax: (55 21) 2286-2595 - Rio de Janeiro - RJ - Brazil
    E-mail: revista@cbc.org.br