Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus
Background. Gallstone ileus is an infrequent cause of small bowel obstructions (SBO), accounting for only 0.1-5% of SBOs and 25% of nonstrangulating causes of SBO in the elderly population. There is scant literature available regarding the use of laparoscopy to treat gallstone ileus. Currently, much...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/8852804 |
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| author | Sarah Assali John Mourany Brendan Jones Lauren Dudas Nova Szoka |
| author_facet | Sarah Assali John Mourany Brendan Jones Lauren Dudas Nova Szoka |
| author_sort | Sarah Assali |
| collection | DOAJ |
| description | Background. Gallstone ileus is an infrequent cause of small bowel obstructions (SBO), accounting for only 0.1-5% of SBOs and 25% of nonstrangulating causes of SBO in the elderly population. There is scant literature available regarding the use of laparoscopy to treat gallstone ileus. Currently, much of the literature available is limited to case reports only. Methods. A complete laparoscopic approach was utilized to manage a 65-year-old woman with morbid obesity who presented with gallstone ileus. With regard to our technical approach, we describe the technical approach that facilitates safe laparoscopic examination of the entire small bowel and can be applied to other acute care surgery cases involving small bowel pathology. Results. The patient’s postoperative course was complicated by new-onset atrial fibrillation which was treated medically with good response. She was safely discharged on postoperative day 2. Conclusion. Laparoscopy is a feasible option for the management of gallstone ileus and can lead to decreased morbidity compared to laparotomy. The technique described allows for laparoscopic examination of the entire small bowel. |
| format | Article |
| id | doaj-art-08ee7d3683334951ba7799c463ad080d |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-08ee7d3683334951ba7799c463ad080d2025-02-03T01:03:58ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/88528048852804Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone IleusSarah Assali0John Mourany1Brendan Jones2Lauren Dudas3Nova Szoka4Allegheny Health Network, USAWest Virginia University, USAWest Virginia University, USAWest Virginia University, USAWest Virginia University, USABackground. Gallstone ileus is an infrequent cause of small bowel obstructions (SBO), accounting for only 0.1-5% of SBOs and 25% of nonstrangulating causes of SBO in the elderly population. There is scant literature available regarding the use of laparoscopy to treat gallstone ileus. Currently, much of the literature available is limited to case reports only. Methods. A complete laparoscopic approach was utilized to manage a 65-year-old woman with morbid obesity who presented with gallstone ileus. With regard to our technical approach, we describe the technical approach that facilitates safe laparoscopic examination of the entire small bowel and can be applied to other acute care surgery cases involving small bowel pathology. Results. The patient’s postoperative course was complicated by new-onset atrial fibrillation which was treated medically with good response. She was safely discharged on postoperative day 2. Conclusion. Laparoscopy is a feasible option for the management of gallstone ileus and can lead to decreased morbidity compared to laparotomy. The technique described allows for laparoscopic examination of the entire small bowel.http://dx.doi.org/10.1155/2020/8852804 |
| spellingShingle | Sarah Assali John Mourany Brendan Jones Lauren Dudas Nova Szoka Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus Case Reports in Surgery |
| title | Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus |
| title_full | Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus |
| title_fullStr | Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus |
| title_full_unstemmed | Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus |
| title_short | Technical Approach to Laparoscopic Examination of the Small Bowel in Gallstone Ileus |
| title_sort | technical approach to laparoscopic examination of the small bowel in gallstone ileus |
| url | http://dx.doi.org/10.1155/2020/8852804 |
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