Observational studyUpdates in surgery2018
Gallstone ileus: monocentric experience looking for the adequate approach.
Observational study in Updates in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Colonic gallstone ileus: a systematic literature review with a diagnostic-therapeutic algorithm.Updates in surgery · 2023Pooled it
- Surgical Management of Gallstone Ileus: Laparoscopic and Open Approaches in a Single-Center Experience.Medicina (Kaunas, Lithuania) · 2025Article
- "An unusual cause of small bowel obstruction: Gallstone ileus, a rare presentation of chronic gallstone disease".International journal of surgery case reports · 2025Article
- Acute cholangitis: a state-of-the-art review.Annals of medicine and surgery (2012) · 2024Review
- Article
- Comparing outcomes of operative management of intestinal obstruction due to gallstone ileus using NSQIP database.Surgery in practice and science · 2023Article
- Endoscopic and surgical treatment of jejunal gallstone ileus caused by cholecystoduodenal fistula: A case report.World journal of clinical cases · 2023Article
- Article
- Article
- Article
- A rare case of gallstone ileus-the unanswered question.Journal of surgical case reports · 2021Article
- Cholecystoduodenal fistula resulting in gallstone ileus: A path paved by stone.Clinical case reports · 2021Article
- Gallstone ileus after recent cholecystectomy. Case report and review of the literature.International journal of surgery case reports · 2021Article
- Article
- A case report and review of the literature of Bouveret syndrome.Annals of the Royal College of Surgeons of England · 2020Review
- Gallstone ileus caused by a gallstone impacted at a cecum neoplasm - A case report.International journal of surgery case reports · 2020Article
- Bouveret Syndrome: A Rare Case of Instance and Treatment in a Younger Patient.Case reports in gastrointestinal medicine · 2020Article
- Cholecystolithotomy, a new approach to reduce recurrent gallstone ileus.Acute medicine & surgery · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Common complications of biliary lithiasis are cholecystitis, bile duct lithiasis, and acute biliary pancreatitis. Gallstone ileus is uncommon complications often requiring surgical approach. It is a mechanical bowel obstruction caused by a biliary calculus usually originating from a bilioenteric fistula. Because of the limited number of reported cases, the optimal surgical method of treatment has been the subject of ongoing debate. A retrospective, observational, descriptive study was conduct on patients diagnosed with non-neoplastic bowel occlusion. For each case of gallstone ileus, the following variables were revised: personal and clinical data, mean time of onset of symptoms, length of pre- and postoperative stay, imaging studies, biochemical tests, site of the bilioenteric fistula and occlusion, surgical strategy, postoperative course, follow-up, and mortality. Of the 290 cases of non-neoplastic bowel obstruction from 2008 to 2015, 11 (3.7%) were due to gallstone ileus. The majority of patients were elderly women (F 9/M 2) with high average age (82.4; 76-88) and significant comorbidities. Five cases of small-bowel occlusions were treated with solely enterolithotomy. For the remaining six cases, digestive resection and cholecystectomy were performed. Complications rate (20 vs. 80%) and postoperative stay (12.4 vs. 25.3 days) were lower in the group of enterolithotomy with respect to the group treated with other procedures. In-hospital mortality was nil. Gallstone ileus is an uncommon bowel occlusion affecting mainly the elderly female population. Enterotomy with stone extraction alone is associated with better outcomes than more invasive techniques.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.