Management and outcome of recurrent gallstone ileus: A systematic review

Table 1 Surgery for relief of intestinal obstruction alone and mortality (n = 87)

Treatment	n	%	Mortality	%
Enterolithotomy1	73	83.9	12	16.4
Small bowel resection	4	4.5	1	25
Conservative +/manual evacuation	8	9.1	2	25
OGD YAG laser lithotripsy	1	1.1	0	0
Loop colostomy	1	1.1	0	0

¹Seven patients from this group went on to have an elective cholecystectomy with biliary-enteric fistula repair with no mortality.

Table 2 Types of single stage surgery and mortality (n = 17)

Treatment	n	%	Mortality	%
Enterolithotomy/resection plus cholecystectomy with biliary-enteric fistula repair	14	82.3	2	11.7
Cholecystostomy and repair of biliary enteric fistula	2	11.7	0
Right hemi-colectomy and cholecystectomy	1	5.8	0

Table 3 Morbidity related to recurrent gallstone ileus treatment (n = 36)

Morbidity	Enterolithotomyn = 28	Single stage definitive surgeryn = 8
No complications	10	5
Wound related-infection, dehiscence	7	1
Anastomosis related, including leak, fistula, intra-abdominal abscess	2	1
Other medical complications, sepsis, MI, pneumonia, renal failure	9	1