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  • Title: [Biliary ileus: enterolithotomy only or radical surgery?].
    Author: Sevilla Molina MP, Sánchez Blanco JM, Escribano Negueruela L, Gómez Rubio D, Recio Moyano G, Campoy Martínez P.
    Journal: Rev Esp Enferm Dig; 1992 Jun; 81(6):407-10. PubMed ID: 1633016.
    Abstract:
    Eleven patients, 8 women and 3 men, mean age 69.9 years (range 54-81) were operated with a gallstone ileus during a seven years period. Echography and barium study of small bowel were made in 8 and 2 patients, and gave a diagnostic rate of 37% and 100%, respectively. A preoperative diagnosis was made in 72.2% of cases, simple enterolithotomy was made in 8 cases and in three cases a definitive treatment of biliary pathology was added. There was no mortality and a major complication was observed in 1 patient without biliary surgery (evisceration and recurrence of biliary ileus); no major complications were seen in patients with primary biliary surgery. With a careful, selection, surgery can be made without mortality nor morbidity.
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