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Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass.
- Source :
-
The American journal of case reports [Am J Case Rep] 2019 Jul 10; Vol. 20, pp. 993-997. Date of Electronic Publication: 2019 Jul 10. - Publication Year :
- 2019
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Abstract
- <strong>BACKGROUND</strong> Biliointestinal bypass is a malabsorptive procedure for surgical treatment of morbid obesity. It is the evolution of jejunoileal bypass, and it is characterized by a cholecysto-jejunostomy on the proximal end of the excluded jejunum, therefore, allowing bile flow through the excluded bowel loop reducing the risk of postoperative diarrhea and malabsorption syndrome. Obesity is a well-known risk factor for cholelithiasis; moreover, bariatric surgery has been showed to increases the risk of gallstones formation. <strong>CASE REPORT</strong> A 48-years-old male (body mass index 42 kg/m²) received a laparoscopic biliointestinal bypass. Nine years later, the patient received a cholecystotomy for removal of biliary stones. No surgical procedures were performed on the cholecysto-jejunostomy. Fourteen years after the bariatric treatment, the patient underwent enterolithotomy after a diagnosis of gallstone ileus. The impacted biliary stone was documented in the excluded loop proximal to the anti-reflux valvular system. The postoperative course and 1-year follow-up were uneventful. <strong>CONCLUSIONS</strong> Few cases of gallstone ileus following biliointestinal bypass have been described in the literature. We report a new case and also propose few tips and tricks for cholelithiasis and gallstone ileus prevention after biliointestinal bypass.
Details
- Language :
- English
- ISSN :
- 1941-5923
- Volume :
- 20
- Database :
- MEDLINE
- Journal :
- The American journal of case reports
- Publication Type :
- Academic Journal
- Accession number :
- 31326973
- Full Text :
- https://doi.org/10.12659/AJCR.916111