About Diagnostics of Obstruсtive Cholelithic Intestinal Impassability


Cite item

Full Text

Abstract

The purpose of the study

To study results of diagnostics obstructive gallstone intestinal obstruction.

Material and methods The analysis of 1357 case histories of patients with acute intestinal obstruction were hospitalized in clinics Ufa. Among them, 43 patients (3.2%) were the cause of intestinal obstruction gallstones, and among 18 965 patients operated on for gallstones in clinics Ufa (1973-2014gg.) Patients with obstructive gallstone ileus was 0.2%. The age of patients was 55 to 85 years, the average age of patients was 64,2 ± 5,3 years, so most of the patients were at an old age. Of these men was - 8 (18.6%) women - 35 (81.4%).

Results and their discussion The article presents results of diagnostics obstructive gallstone intestinal obstruction in 43 patients. The role of fuzzy clinical symptoms caused by advanced old patients, diagnostic errors and detailed clinical picture biliarnogoileusa bearing intermittent character. Emphasis is placed on the role of history in the diagnosis of biliary search. The authors present results of the strategic use radiological, endoscopic and ultrasonic diagnostic methods. Refined ultrasound kriteriiobturatsionnoy intestinal obstruction caused by gallstones. Biliarnogoileusa important in the diagnosis, authors say, is the detection of radiological symptom "aeroholii." It is shown that the most informative method is a diagnostic laparoscopy, wity following is the value of ultrasound imaging.

Conclusion The targeted exclusion of biliary ileus due to a balanced approach to the assessment of clinical symptoms, correct choice of algorithm instrumental studies, accumulation of facts in most cases, correct diagnosis obstructive gallstone intestinal obstruction.

About the authors

Bashkortostan State Medical University, 3 Lenin Str., Ufa, 450000, Russian Federation

Author for correspondence.
Email: hasanovag@mail.ru
MD, head of the department of surgical diseases Bashkir state medical university

Bashkortostan State Medical University, 3 Lenin Str., Ufa, 450000, Russian Federation

Email: nurtdinovma68@mail.ru
 MD, Prof. of Bashkir state medical university, chair of surgical diseases.

References

  1. Baulin A.A. Baulin N.A., Tishchenko A.I. et al. ZHelchnokamennaya neprohodimost'. [Gallstone ileus.] Khirurgiia, 1991; 11: 50-53. - (in Russ.).
  2. Boger M.M. Ul'trazvukovaia diagnostika v gastroenterologii [Ultrasound diagnosis in gastroenterology]. Novosibirsk: Nauka, 1988; 159. - (in Russ.).
  3. Bokhan K.L. K 100-letiyu so dnya pervoj operacii v Rossii dlya zhelchnoj neprohodimosti. [On the 100th anniversary since the first in Russia surgery for biliary ileus.] Khirurgiia, 1993; № 7: 80. - (in Russ.).
  4. Kriger A.G., Andreitsev I.L., Ovanesian E.R. et al. Obstruktivnaya neprohodimost' kishechnika, vyzvannaya zhelchnymi kamnyami [Obstructive bowel obstruction caused by gallstones.] Khirurgiia, 2003; 9: 51. - (in Russ.).
  5. Khunafin S.N., Gattarov I.Kh., Nurmukhametov A.A. et al. ZHelchnokamennaya neprohodimost'. [Gallstone ileus.] Khirurgiia, 2002; 4: 57-60. - (in Russ.).
  6. Shulutko B.I., Makarenko S.V. Standarty diagnostiki i lecheniia vnutrennikh boleznei. [Standards for the diagnosis and treatment of internal diseases]. Saint-Petersburg: Elbi, 2003; 734. - (in Russ.).
  7. Lausen M., Ruf G., Seemann W. et al. Der Gallensteinileus — ein diagnostisches und indicatorisches Problem Berich uber 35 Patienten. Langenbecks Arch. Chir., 1986; 368: 3: 181-186.
  8. Buljevac M. J. Sonographic diagnosis of gallstone ileus. Ultrasound Med., 2004; 23 (10): 1395-1398.
  9. Graham J.S. Images in clinical medicine. Gallstone ileus. N. Engl. J. Med., 2004; 9: 351(11): 1119.
  10. Khalid M. What's your diagnosis? Gallstone ileus. Ann. Saudi Med., 2004; 24(5): 373: 401-402.
  11. Cheng H. Image of the month. Gallstone ileus. Gastroenterology, 2004; 127(3): 705.
  12. Reimann A.J. Atypical cases of gallstone ileus evaluated with multidetector computed tomography. J. Comput. Assist. Tomogr., 2004; 28(4): 523-527.
  13. Tan Y.M. A comparison of two surgical strategies for the emergency treatment of gallstone ileus. Singapore Med. J., 2004; 45(2): 69-72.
  14. Yoshida H. Diagnosis of gallstone ileus by serial computed tomography. Hepatogastroenterology, 2004; 51(55): 33-35.
  15. Delabrousse E. Gallstone ileus: CT findings. Eur. Radiol., 2000; 10(6): 938-940.
  16. Lübbers H. Gallstone ileus: endoscopic removal of a gallstone obstructing the upper jejunum. J. Intern. Med., 1999; 246(6): 593-597.
  17. Chakraverty S. CT findings in gallstone ileus. Clin. Radiol., 1999; 54(3): 197.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2015 ., .

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies