Gallstone ileus:: endoscopic removal of a gallstone obstructing the upper jejunum

被引:33
作者
Lübbers, H [1 ]
Mahlke, R [1 ]
Lankisch, PG [1 ]
机构
[1] Municipal Clin Luneburg, Dept Internal Med, D-21339 Lueneburg, Germany
关键词
diagnosis; endoscopy; gallstone ileus and treatment;
D O I
10.1046/j.1365-2796.1999.00597.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In a 91-year-old female patient admitted with an ileus, ultrasound and computed tomography demonstrated the obstruction of the upper jejunum by a large gallstone. Due to concurrent diseases the patient was unfit for surgery. An attempt was made to remove the impacted stone endoscopically. After successful mobilization and fragmentation by mechanical lithotripsy the obstruction was cleared away. Since the patient improved considerably after this procedure, the gallbladder and the cholecystoduodenal fistula were left in place.
引用
收藏
页码:593 / 597
页数:5
相关论文
共 13 条
[1]  
Aschoff AJ, 1998, Z GASTROENTEROL, V36, P853
[2]   GALLSTONE ILEUS [J].
CLAVIEN, PA ;
RICHON, J ;
BURGAN, S ;
ROHNER, A .
BRITISH JOURNAL OF SURGERY, 1990, 77 (07) :737-742
[3]   GALLSTONE ILEUS TREATED BY ELECTROHYDRAULIC LITHOTRIPSY [J].
FUJITA, N ;
NODA, Y ;
KOBAYASHI, G ;
KIMURA, K ;
WATANABE, H ;
SHIRANE, A ;
HAYASAKA, T ;
MOCHIZUKI, F ;
YAMAZAKI, T .
GASTROINTESTINAL ENDOSCOPY, 1992, 38 (05) :617-619
[4]   SHOCK-WAVE THERAPY OF GASTRIC OUTLET SYNDROME CAUSED BY A GALLSTONE [J].
HOLL, J ;
SACKMANN, M ;
HOFFMANN, R ;
SCHUSSLER, P ;
SAUERBRUCH, T ;
JUNGST, D ;
PAUMGARTNER, G .
GASTROENTEROLOGY, 1989, 97 (02) :472-474
[5]  
Meyenberger C, 1996, GASTROINTEST ENDOSC, V43, P508
[6]  
MORIAI T, 1991, AM J GASTROENTEROL, V86, P627
[7]   ROLE OF COLONOSCOPY IN GALLSTONE ILEUS - A CASE-REPORT [J].
PATEL, SA ;
ENGEL, JJ ;
FINE, MS .
ENDOSCOPY, 1989, 21 (06) :291-292
[8]  
REISNER RM, 1994, AM SURGEON, V60, P441
[9]   Gallstone obstruction - Pathogenesis and roentgen manifestations [J].
Rigler, LG ;
Borman, CN ;
Noble, JF .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1941, 117 :1753-1759
[10]  
Roberts S R, 1990, J Tenn Med Assoc, V83, P18