El Feghali E, Akel R, Chamaa B, Kazan D, Chakhtoura G. Surgical management of gallstone ileus after one anastomosis gastric bypass: A case report. World J Gastrointest Surg 2023; 15(9): 2083-2088 [PMID: 37901746 DOI: 10.4240/wjgs.v15.i9.2083]
Corresponding Author of This Article
Elie El Feghali, MD, Postdoc, Department of General Surgery, Saint Joseph University, Rue Damas, Ashrafieh, Beirut 1107, Lebanon. egf995@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2023; 15(9): 2083-2088 Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.2083
Surgical management of gallstone ileus after one anastomosis gastric bypass: A case report
Elie El Feghali, Rhea Akel, Bilal Chamaa, Daniel Kazan, Ghassan Chakhtoura
Elie El Feghali, Bilal Chamaa, Daniel Kazan, Ghassan Chakhtoura, Department of General Surgery, Saint Joseph University, Beirut 1107, Lebanon
Rhea Akel, Department of Radiology, Saint Joseph University, Beirut 1107, Lebanon
Author contributions: El Feghali E wrote the manuscript; Akel R provided the radiology images and their respective annotations; Chamaa B and Kazan D performed the research; Chakhtoura G designed the research study; and all authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: There are no conflict-of-interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Elie El Feghali, MD, Postdoc, Department of General Surgery, Saint Joseph University, Rue Damas, Ashrafieh, Beirut 1107, Lebanon. egf995@gmail.com
Received: May 25, 2023 Peer-review started: May 25, 2023 First decision: June 19, 2023 Revised: June 27, 2023 Accepted: July 25, 2023 Article in press: July 25, 2023 Published online: September 27, 2023
Abstract
BACKGROUND
Gallstone ileus following one anastomosis gastric bypass (OAGB) is an exceptionally rare complication. The presented case report aims to highlight the unique occurrence of this condition and its surgical management. Understanding the clinical presentation, diagnostic challenges and successful surgical intervention in such cases is crucial for healthcare professionals involved in bariatric surgery.
CASE SUMMARY
We present a case report of gallstone ileus following OAGB and discuss its diagnosis and surgical management. A 66-year-old female with a history of OAGB presented to the emergency room with symptoms of small bowel obstruction. Computed tomography scan revealed a gallstone impacted in the distal ileum, causing obstruction. The patient underwent a laparoscopically assisted enterolithotomy, during which the gallstone was extracted and the enterotomy was closed. The patient had an uneventful recovery and was discharged on postoperative day four.
CONCLUSION
Gallstone ileus should be considered as a possible complication after OAGB, and prompt surgical intervention is usually required for its management. This case report contributes to the limited existing literature, providing insights into the management of this uncommon complication.
Core Tip: Gallstone ileus is a rare but serious complication that can occur after bariatric surgery, including one anastomosis gastric bypass (OAGB). Prompt diagnosis and appropriate surgical management are crucial for successful outcomes. In this case report, we present a rare instance of gallstone ileus after OAGB, highlighting the importance of considering this condition in patients presenting with small bowel obstruction symptoms post-bariatric surgery. A laparoscopically assisted enterolithotomy was performed, leading to the successful extraction of the gallstone and subsequent resolution of symptoms. Surgeons should be aware of the increased risk of cholelithiasis after bariatric surgery and consider preventive measures or early intervention to minimize the occurrence of gallstone-related complications.
