VESICO-DUODENAL FISTULAS AND OBSTRUCTIVE SMALL BOWEL OBSTRUCTION IN CHOLELITHIASIS
Main Article Content
Abstract
Aim – Evaluation of the incidence of pressure ulcers and vesicoduodenal fistulas in cholcystolithiasis, as well as the incidence and effectiveness of basic diagnostic studies of gallstone obstructive small bowel obstruction.
Materials and methods. Over the past 10 years, we have analyzed 5055 cholecystectomies in the surgical department N 2 of the Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunsky. And for the period from 1997 to 2021 analyzed the surgical treatment of 1102 patients with acute mechanical intestinal obstruction in the surgical department N 1 of the Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky.
Results. At 5055 cholecystectomies, 10 (0.19 %) cases of biliodigestive fistulas were encountered, including 4 (0.08 %) vesico-duodenal and 6 (0.12 %) vesico-colonic fistulas. Cholecystectomy was combined with bowel suturing. In 1102 patients urgently operated on with mechanical intestinal obstruction, gallstone ileus was detected in 5 patients (0.45 %). Convincing indications for surgical treatment were vomiting and expansion of the initial sections of the small intestine when it was contrasted with a delay in the advance of barium suspension. They were limited in elderly patients to enterotomy and lithoextraction.
Conclusion. In 0.08 % of cases, with long-term cholecystolithiasis, vesico-duodenal fistulas are formed. Obstructive gallstone small bowel obstruction occurs in 0.45 % of those operated on with mechanical intestinal obstruction. Diagnostic difficulties when using radiation methods of examination do not arise.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Galimova KhI, Minakhmetova RS, Akhkyamova ChR. Gallstone disease. Chronic calculous cholecystitis. The capital of science. 2020; 4(21): 62-68. Russian (Галимова Х.И., Минахметова Р.С., Ахкямова Ч.Р. Желчнокаменная болезнь. Хронический калькулёзный холецистит //Столица науки. 2020. № 4(21). С. 62-68)
Vakhrushev YaM, Khokhlacheva N.A. Gallstone disease: epidemiology, risk factors, clinical features, prevention. Archives of Internal Medicine. 2016; 3(29): 30-35. Russian (Вахрушев Я.М., Хохлачева Н.А. Желчнокаменная болезнь: эпидемиология, факторы риска, особенности клинического течения, профилактика //Архивъ внутренней медицины. 2016. Т. 6, № 3(29). С. 30-35.) DOI: 10.20514/2226-6704-2016-6-3-30-35
Grigorieva IN, Ragino YuI, Shakhtshneider EV, Ryabikov AN, Verevkin EG, Voevoda MI. Gallstone disease: the results of our own 20-year research (part 1: epidemiology, blood and bile lipids, apolipoprotein E polymorphism). Diary of the Kazan School. 2016; 2(12): 18-23. Russian (Григорьева И.Н., Рагино Ю.И., Шахтшнейдер Е.В., Рябиков А.Н., Верёвкин Е.Г., Воевода М.И. Желчнокаменная болезнь: результаты собственных 20-летних исследований (часть 1: эпидемиология, липиды крови и желчи, полиморфизм аполипопротеина Е) //Дневник Казанской школы. 2016. № 2(12). С. 18-23)
Jaguś D, Karthik A, Tan ZY, Mlosek RK, Białek E, Gallbladder-duodenal fistula detected by ultrasound – a case report. Journal of Ultrasonography. 2020; 20(82): e214-e217. DOI: 10.15557/jou.2020.0036
Davydkin VI, Karpushkina PI, Pigachev AV. Obstructive small bowel obstruction as a rare complication of gallstone disease. Bulletin of surgery II Grekov. 2019; 178(6): 59-62. Russian (Давыдкин В.И., Карпушкина П.И., Пигачёв А.В. Обтурационная тонкокишечная непроходимость как редкое осложнение желчнокаменной болезни //Вестник хирургии им. И.И. Грекова. 2019. Т. 178, № 6. С. 59-62.) DOI: 10.24884/0042-4625-2019-178-6-59-62
Wali L, Husain F, Ali S, Humphries S, Turner L, Johnson-Smith T, Gough-Palmer A. Gallstone ileus with an enterovaginal fistula: a rare complication of pelvic radiotherapy. BJR Case Reports. 2020; 6(4): 20200060. DOI: 10.1259/bjrcr.20200060
Nguyen BH, Le Quan AT, Hai PM, Quang Hung V, Thai TT. Duodenal Obstruction Due to Giant Gallstone: A Case Report. International Medical Case Reports Journal. 2020; 13: 651-656. DOI: 10.2147/imcrj.s278058
Subbotin VM, Busyrev YuB, Davidov MI, Nikonova OE. Biliary ileus. Bulletin of Surgical Gastroenterology. 2015; (3-4): 19-22. Russian (Субботин В.М., Бусырев Ю.Б., Давидов М.И., Никонова О.Е. Билиарный илеус //Вестник хирургической гастроэнтерологии. 2015. № 3-4. С. 19-22)
Mamchich VI, Bondarenko ND, Chaika MA. New in the problem of gallstone intestinal obstruction. Annals of Surgical Hepatology. 2020; 25(1): 62-68. Russian (Мамчич В.И., Бондаренко Н.Д., Чайка М.А. Новое в проблеме желчнокаменной кишечной непроходимости //Анналы хирургической гепатологии. 2020. Т. 25, № 1. С. 62-68.) DOI:10.16931/1995-5464.2020162-68
Wu LJ, Yang DQ, Chen J. Cholecystoduodenal fistula with gastric outlet obstruction. Acta Gastro-Enterologica Belgica. 2020; 5(12): 660-663. DOI: 10.1016/j.vgie. 2020. 08.004
Podoluzhny VI, Radionov IA, Shabalina OV. Acute abdominal surgical pathology: Monograph. Kemerovo: Polygraph, 2019. 128 p. Russian (Подолужный В.И., Радионов И.А., Шабалина О.В. Острая абдоминальная хирургическая патология: Монография. Кемерово: Полиграф, 2019. 128 с.)
Korovin AYa, Trifanov NA, Bazlov SB, Turkin DV. Biliary ileus. Modern problems of science and education. 2019; (2): 155. Russian (Коровин А.Я., Трифанов Н.А., Базлов С.Б., Туркин Д.В. Билиарный илеус //Современные проблемы науки и образования. 2019. № 2. С. 155)
Davidov MI, Nikonova OE. Experience in the diagnosis and treatment of gallstone intestinal obstruction. Medical Almanac. 2015; 3(38): 230-233. Russian (Давидов М.И., Никонова О.Е. Опыт диагностики и лечения желчнокаменной кишечной непроходимости //Медицинский альманах. 2015. № 3(38). С. 230-233)