Surgical management of gallstone ileus after one anastomosis gastric bypass: A case report  

作　　者：Elie El Feghali Rhea Akel Bilal Chamaa Daniel Kazan Ghassan Chakhtoura 

机构地区：[1]Department of General Surgery,Saint Joseph University,Beirut 1107,Lebanon [2]Department of Radiology,Saint Joseph University,Beirut 1107,Lebanon

出　　处：《World Journal of Gastrointestinal Surgery》2023年第9期2083-2088,共6页世界胃肠外科杂志（英文版）（电子版）

摘　　要：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 inter-vention 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 obstru-ction.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 dis-charged 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.

关 键 词：Gallstone ileus One anastomosis gastric bypass Bariatric surgery Intestinal occlusion Bilio-digestive fistula Enterolithotomy Case report 

分 类 号：R735.2[医药卫生—肿瘤]