VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS
Aim – Evaluation of the incidence of pressure ulcers and vesicoduodenal fistulas in cholcystolithiasis, as well as the incidence and effectiveness of basic diagnostic studies of gallstone obstructive small bowel obstruction. Materials and methods. Over the past 10 years, we have analyzed 5055 chole...
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| Format: | Article |
| Language: | Russian |
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The Publishing House Medicine and Enlightenment
2021-06-01
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| Series: | Медицина в Кузбассе |
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| Online Access: | https://mednauki.ru/index.php/MK/article/view/561 |
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| author | Валерий Иванович Подолужный Владислав Александрович Пельц Игорь Александрович Радионов Владимир Вячеславович Павленко Андрей Борисович Старцев |
| author_facet | Валерий Иванович Подолужный Владислав Александрович Пельц Игорь Александрович Радионов Владимир Вячеславович Павленко Андрей Борисович Старцев |
| author_sort | Валерий Иванович Подолужный |
| collection | DOAJ |
| description | Aim – Evaluation of the incidence of pressure ulcers and vesicoduodenal fistulas in cholcystolithiasis, as well as the incidence and effectiveness of basic diagnostic studies of gallstone obstructive small bowel obstruction.
Materials and methods. Over the past 10 years, we have analyzed 5055 cholecystectomies in the surgical department N 2 of the Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunsky. And for the period from 1997 to 2021 analyzed the surgical treatment of 1102 patients with acute mechanical intestinal obstruction in the surgical department N 1 of the Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky.
Results. At 5055 cholecystectomies, 10 (0.19 %) cases of biliodigestive fistulas were encountered, including 4 (0.08 %) vesico-duodenal and 6 (0.12 %) vesico-colonic fistulas. Cholecystectomy was combined with bowel suturing. In 1102 patients urgently operated on with mechanical intestinal obstruction, gallstone ileus was detected in 5 patients (0.45 %). Convincing indications for surgical treatment were vomiting and expansion of the initial sections of the small intestine when it was contrasted with a delay in the advance of barium suspension. They were limited in elderly patients to enterotomy and lithoextraction.
Conclusion. In 0.08 % of cases, with long-term cholecystolithiasis, vesico-duodenal fistulas are formed. Obstructive gallstone small bowel obstruction occurs in 0.45 % of those operated on with mechanical intestinal obstruction. Diagnostic difficulties when using radiation methods of examination do not arise. |
| format | Article |
| id | doaj-art-eeea3cdf5a9342418d787d7a1ed70336 |
| institution | Kabale University |
| issn | 1819-0901 2588-0411 |
| language | Russian |
| publishDate | 2021-06-01 |
| publisher | The Publishing House Medicine and Enlightenment |
| record_format | Article |
| series | Медицина в Кузбассе |
| spelling | doaj-art-eeea3cdf5a9342418d787d7a1ed703362025-08-20T03:57:54ZrusThe Publishing House Medicine and EnlightenmentМедицина в Кузбассе1819-09012588-04112021-06-012024446524VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASISВалерий Иванович Подолужный0Владислав Александрович Пельц1Игорь Александрович Радионов2Владимир Вячеславович Павленко3Андрей Борисович Старцев4ФГБОУ ВО КемГМУ Минздрава России, г. КемеровоГАУЗ КО ОКБСМП им. М.А. Подгорбунского, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГОУ ВО КемГМУ Минздрава России, г. КемеровоГАУЗ ККБ СМП им. М.А. Подгорбунского, г. КемеровоAim – Evaluation of the incidence of pressure ulcers and vesicoduodenal fistulas in cholcystolithiasis, as well as the incidence and effectiveness of basic diagnostic studies of gallstone obstructive small bowel obstruction. Materials and methods. Over the past 10 years, we have analyzed 5055 cholecystectomies in the surgical department N 2 of the Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunsky. And for the period from 1997 to 2021 analyzed the surgical treatment of 1102 patients with acute mechanical intestinal obstruction in the surgical department N 1 of the Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky. Results. At 5055 cholecystectomies, 10 (0.19 %) cases of biliodigestive fistulas were encountered, including 4 (0.08 %) vesico-duodenal and 6 (0.12 %) vesico-colonic fistulas. Cholecystectomy was combined with bowel suturing. In 1102 patients urgently operated on with mechanical intestinal obstruction, gallstone ileus was detected in 5 patients (0.45 %). Convincing indications for surgical treatment were vomiting and expansion of the initial sections of the small intestine when it was contrasted with a delay in the advance of barium suspension. They were limited in elderly patients to enterotomy and lithoextraction. Conclusion. In 0.08 % of cases, with long-term cholecystolithiasis, vesico-duodenal fistulas are formed. Obstructive gallstone small bowel obstruction occurs in 0.45 % of those operated on with mechanical intestinal obstruction. Diagnostic difficulties when using radiation methods of examination do not arise.https://mednauki.ru/index.php/MK/article/view/561желчнокаменная болезньострая кишечная непроходимостьбилиодигестивные свищипузырнодуоденальная фистулахирургическое лечениелучевая диагностика |
| spellingShingle | Валерий Иванович Подолужный Владислав Александрович Пельц Игорь Александрович Радионов Владимир Вячеславович Павленко Андрей Борисович Старцев VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS Медицина в Кузбассе желчнокаменная болезнь острая кишечная непроходимость билиодигестивные свищи пузырнодуоденальная фистула хирургическое лечение лучевая диагностика |
| title | VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS |
| title_full | VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS |
| title_fullStr | VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS |
| title_full_unstemmed | VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS |
| title_short | VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS |
| title_sort | vesico duodenal fistulas and obstructive small bowel obstruction in cholelithiasis |
| topic | желчнокаменная болезнь острая кишечная непроходимость билиодигестивные свищи пузырнодуоденальная фистула хирургическое лечение лучевая диагностика |
| url | https://mednauki.ru/index.php/MK/article/view/561 |
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