Vesicular-digestive fistulas in cholelithiasis with concomitant pancreatitis
Vol 53 No 4 (2021), ORIGINAL RESEARCH
Vol 53 No 4 (2021)

Vesicular-digestive fistulas in cholelithiasis with concomitant pancreatitis

ORIGINAL RESEARCH
https://doi.org/10.33149/vkp.2021.04.02
Published December 31, 2021
V. I. Podoluzhny
Kemerovo State Medical University
V. A. Pelts
Kuzbass Clinical Emergency Hospital n. a. M. A. Podgorbunsky
I. A. Radionov
Kemerovo State Medical University
A. B. Startsev
Kuzbass Clinical Emergency Hospital n. a. M. A. Podgorbunsky
V. V. Pavlenko
Kemerovo State Medical University
PDF (Русский)

Keywords

gallstone disease, gallbladder fistula, chronic pancreatitis, acute intestinal obstruction, surgical treatment, radiation diagnostics

How to Cite

Podoluzhny, V. I., Pelts, V. A., Radionov, I. A., Startsev, A. B., & Pavlenko, V. V. (2021). Vesicular-digestive fistulas in cholelithiasis with concomitant pancreatitis. Herald of Pancreatic Club, 53(4), 19-21. https://doi.org/10.33149/vkp.2021.04.02
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver

Download Citation

Endnote/Zotero/Mendeley (RIS) BibTeX

Abstract views: 218
PDF Downloads: 187

Abstract

Aim — evaluation of the incidence of pressure ulcers and vesicular-digestive fistulas in cholecystolithiasis, concomitant chronic pancreatitis, as well as the incidence and effectiveness of basic diagnostic studies of gallstone small bowel obstruction in these patients.

Materials and methods. Over the past 10 years, we have analyzed 5055 cholecystectomies in the surgical department No 2 of the Kuzbass Clinical Emergency Hospital n. a. M. A. Podgorbunsky. In terms of anamnesis, 509 people in this group were treated for chronic pancreatitis, 116 had diabetes mellitus. We have analyzed the surgical treatment of 1086 patients with acute mechanical intestinal obstruction in the surgical department No 1 from 1997 to 2020, gallstone ileus was in 4 operated.

Results. At 5055 cholecystectomies, 10 (0.19%) cases of biliodigestive fistulas were found, including 4 (0.08%) vesicular-duodenal and 6 (0.12%) vesicular-colonic fistulas. In 3 cases, patients underwent long-term treatment for chronic pancreatitis, one patient suffered from diabetes mellitus. Cholecystectomy was successfully combined with bowel suturing. Among 1086 patients, urgently operated on with mechanical intestinal obstruction, gallstone ileus was detected in 4 patients (0.37%). Convincing indications for surgical treatment were vomiting and paretic expansion of the initial sections of the small intestine with a delay in the advancement of barium suspension during its contrasting. Enterotomy and lithoextraction were performed in elderly patients.

Conclusion. Vesicular-duodenal fistulas are formed in 0.08% of cases upon long-term cholecystolithiasis, surgeons detect vesicular-colonic fistulas in 0.12% during cholecystectomy. 30% of these patients received treatment for chronic pancreatitis. Cholelithiasis small bowel obstruction occurs in 0.37% of those operated on with mechanical intestinal obstruction. Diagnostic difficulties do not arise upon using radiation methods of examination.

https://doi.org/10.33149/vkp.2021.04.02
PDF (Русский)

References

1. Вахрушев Я. М. Желчнокаменная болезнь: эпидемиология, факторы риска, особенности клинического течения, профилактика. Архивъ внутренней медицины. 2016. Т. 6, № 3 (29). С. 30–36.
2. Галимова Х. И., Минахметова Р. С., Ахкямова Ч. Р. Желчнокаменная болезнь. Хронический калькулёзный холецистит. Столица науки. 2020. № 4 (21). С. 62–68.
3. Григорьева И. Н., Рагино Ю. И., Шахтшнейдер Е. В., Рябиков А. Н., Верёвкин Е. Г., Воевода М. И. Желчнокаменная болезнь: результаты собственных 20-летних исследований (часть 1: эпидемиология, липиды крови и желчи, полиморфизм аполипопротеина Е). Дневник Казанской школы. 2016. № 2 (12). С. 18–23.
4. Давыдкин В. И., Карпушкина П. И., Пигачёв А. В. Обтурационная тонкокишечная непроходимость как редкое осложнение желчнокаменной болезни. Вестник хирургии им. И. И. Грекова. 2019. Т. 178, № 6. С. 59–62.
5. Давидов М. И., Никонова О. Е. Опыт диагностики и лечения желчнокаменной кишечной непроходимости. Медицинский альманах. 2015. № 3 (38). С. 230–233.
6. Коровин А. Я., Трифанов Н. А., Базлов С. Б., Туркин Д. В. Билиарный илеус. Современные проблемы науки и образования. 2019. № 2. С. 155.
7. Мамчич В. И., Бондаренко Н. Д., Чайка М. А. Новое в проблеме желчнокаменной кишечной непроходимости. Анналы хирургической гепатологии. 2020. Т. 25, № 1. С. 62–68.
8. Подолужный В. И., Радионов И. А., Шабалина О. В. Острая абдоминальная хирургическая патология. Кемерово: ООО «Фирма ПОЛИГРАФ», 2019. 128 с.
9. Субботин В. М., Бусырев Ю. Б., Давидов М. И., Никонова О. Е. Билиарный илеус. Вестник хирургической гастроэнтерологии. 2015. № 3–4. С. 19–22.
10. Jaguś D., Karthik A., Tan Z. Y., Mlosek R. K., Białek E. Gallbladder-duodenal fistula detected by ultrasound — a case report. Journal of Ultrasonography. 2020. Vol. 20, No 82. P. 214–217.
11. Nguyen B. H., Le Quan A. T., Hai P. M., Quang Hung V., Thai T. T. Duodenal obstruction due to giant gallstone: a case report. International Medical Case Reports Journal. 2020. Vol. 13. P. 651–656.
12. Wali L., Husain F., Ali S., Humphries S., Turner L., Johnson-Smith T., Gough-Palmer A. Gallstone ileus with an enterovaginal fistula: a rare complication of pelvic radiotherapy. BJR Case Reports. 2020. Vol. 6, No 4. P. 89–91.
13. Wu L. J., Yang D. Q., Chen J. Cholecystoduodenal fistula with gastric outlet obstruction. Acta Gastro-Enterologica Belgica. 2020. Vol. 83, No 12. P. 660–663.