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Gallstone Ileus After Biliointestinal Bypass: Report of Two Cases |
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| Authors: | Giancarlo Micheletto Piergiorgio Danelli Anna Morandi Valerio Panizzo Marco Montorsi |
| Affiliation: | 1. Department of Pathophysiology and Transplantation—Department of General Surgery, Università degli Studi di Milano—Istituto Clinico Sant’Ambrogio, via Faravelli 16, 20149, Milan, Italy 2. Department of Biomedical and Clinical Science Luigi Sacco, Università degli Studi di Milano, Milan, Italy 3. Department of General Surgery - Department of Pediatric Surgery, Istituto Clinico Sant’Ambrogio - Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy 4. Department of General Surgery, Istituto Clinico Sant’Ambrogio, Milan, Italy 5. Department of General Surgery, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Milan, Italy |
| Abstract: | IntroductionGallstone ileus is an uncommon disease and accounts for 1–4 % of all cases of mechanical intestinal obstruction. The physiopathology is related to the presence of a bilioenteric fistula.MethodWe report two cases of gallstone ileus in patients operated on biliointestinal bypass for morbid obesity. The anastomosis of the gallbladder to the proximal end of the bypassed jejunum allowed the transit of gallstones in the excluded ileum and its impaction in anti-reflux valvular system.ResultsPreoperative exams were unable to solve the diagnostic query, and the diagnosis was achieved only at laparotomy. One-stage combined enterolithotomy and cholecystectomy were performed.ConclusionThe two patients had an uneventful recovery. To our knowledge, this is the first report of gallstone ileus after biliointestinal bypass. |
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