ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2026
Gallstone ileus: a single-center experience.
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGallstone ileus (GSI) is a rare surgical emergency. Its diagnosis is challenging and frequently delayed. Moreover, there is no consensus regarding the optimal surgical approach. The primary point of debate is whether cholecystectomy and fistula repair should be performed and, if so, when. Several studies have suggested that omitting cholecystectomy and fistula repair may increase the risk of cholangitis, gallbladder cancer, and recurrent gallstone ileus. However, most of these data originate from studies conducted in the previous century and have not been supported by contemporary evidence. This study aimed to present our clinical experience with gallstone ileus, discuss diagnostic and therapeutic strategies, and review the relevant literature.
methodsMedical records of 13 patients who underwent surgery for GSI between 2017 and 2022 at the Department of General Surgery, Kartal Dr. Lütfi Kirdar City Hospital, were retrospectively reviewed.
resultsOf the patients, 69% were diagnosed with gallstone ileus at the time of admission, whereas 30.7% experienced a delayed diagnosis. The median time to surgery was 6 hours, and the median length of hospital stay was 6.5 days among patients diagnosed at admission. In contrast, patients with a delayed diagnosis had a median time to surgery of 126 hours and a median hospital stay of 14.5 days. Failure to establish the diagnosis at admission was associated with preoperative delays and prolonged hospitalization (p<0.05). Eleven patients underwent surgery aimed solely at relieving bowel obstruction, with fistula repair omitted. Two patients underwent additional cholecystectomy and fistula repair. During a mean follow-up period of 39.7 months, no cases of recurrent gallstone ileus, gallbladder cancer, or cholangitis were observed, despite omission of fistula repair in most patients.
conclusionGSI is a rare surgical emergency that is frequently associated with delayed diagnosis. Accurate diagnosis at presentation reduces preoperative delay and shortens hospital stay. Current evidence is insufficient to support routine cholecystectomy and fistula repair in all patients with GSI. The relationship between GSI and malignancy remains unclear. Surgical management should be individualized, and cholecystectomy with fistula repair should be considered when additional gallstones are present in the gallbladder.
Indexed as
Identifiers
What OpenQuestion holds
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.