EXPERIENCES WITH SIMULTANEOUS REVISION OF BILE-DUCTS IN SURGICAL-TREATMENT OF GALLSTONE ILEUS

During the last 16 years, 14 patients with a gallstone ileus were trea ted at our institution. In 11 cases we performed in addition to the en terolithotomy, a cholecystectomy and a resection of the fistula as one -stage repair. Despite the high average age (74.3 years) and the prese nce of various other serious morbidity in our patient population, we o nly observed a hospital mortality of 7.1 %. Serious postoperative comp lications, such as sepsis and/or shock were not observed. Utilizing to days advanced anesthesia and proper intensive-care therapy, as well as early operative intervention and safe surgical technique. we believe that enterolithotomy with cholecystectomy and fistula resection as one -stage operation, should primarily be considered before performing ent erolithotomy alone.