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首页> 外文期刊>Acute Medicine & Surgery >Cholecystolithotomy, a new approach to reduce recurrent gallstone ileus
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Cholecystolithotomy, a new approach to reduce recurrent gallstone ileus

机译：胆囊切开取石术，减少复发性胆结石肠梗阻的新方法

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The incidence of gallstone ileus ( GSI ) is increasing. Current treatment options include enterolithotomy with or without cholecystectomy and repair of the biliodigestive fistula. Although most surgeons defer the management of the biliodigestive fistula to avoid the associated morbidity and mortality, this can lead to increased rate of recurrence of GSI by the remaining gallstones. More than 130 cases of recurrent GSI were reported in published works, and the incidence of recurrent GSI is reported to be between 5% and 20%. Some cases of second recurrent attacks have also been reported. Most cases were reported in elderly women with faceted stones during the first 2?months from the first episode of GSI . This article reviews the current treatment options for more than 4,300 reported cases of GSI. A treatment algorithm is recommended based on the severity of the inflammation around the gallbladder, including cholecystolithotomy as a third treatment approach that aims to reduce the risk of recurrent GSI. Recurrent gallstone ileus is a significant morbidity associated with current treatment options for the primary presentation. This?article recommends a new treatment algorithm including cholecystolithotomy as a treatment option to reduce the risk of recurrence.
机译：胆结石性肠梗阻（GSI）的发病率正在增加。当前的治疗选择包括有或没有胆囊切除术的肠石切除术和胆道消化道瘘的修复。尽管大多数外科医师会推迟胆道消化道瘘管的治疗，以避免相关的发病率和死亡率，但这会导致其余胆结石的GSI复发率增加。在已发表的著作中报告了130多例GSI复发病例，据报道GSI复发的发生率在5％至20％之间。也有第二次反复发作的案例。在GSI首次发作后的头2个月内，大多数病例报道为多面结石的老年妇女。本文回顾了目前已报道的4,300例GSI病例的治疗方案。建议根据胆囊周围炎症的严重程度（包括胆囊切开取石术）作为第三种治疗方法，以降低复发性GSI的风险，采用治疗算法。复发性胆石性肠梗阻是与主要表现的当前治疗方案相关的重大发病率。本文推荐了一种新的治疗方法，其中包括胆囊切开取石术作为治疗选择，以降低复发风险。

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