Gallstones sometimes blocked intestine caused obstruction, The obstruction caused by gallstone ileus medically known as gallstone ileus. The gallstone ileus caused stones larger than the diameter is generally greater than 2.5 cm, are in the beginning of this stone in the gallbladder. The gallbladder, these large gallstone to cause intestinal obstruction, we should first have the gallbladder gastrointestinal fistulas occurred. Gallbladder gastrointestinal fistulas occurred after the gallbladder stones may enter the intestinal fistula. Smaller stones into the intestine, as will the gastrointestinal tract motility in vitro and discharge does not cause obstruction. If the larger stones will be a mechanical intestinal blockage, caused gallstone ileus. Often the site of gallstone obstruction occurred in the terminal ileum, because here the mesocaval smaller.
The gallstone ileus more older patients, when the gallstone intestinal obstruction, we will see a series of obstructive symptoms. The patient will feel a abdominal pain, accompanied by nausea and vomiting. Intestinal obstruction will cause the product gas and fluid, the patient's abdomen will gradually swell. Because the gas mesocaval not normal operation, the patient's anus to stop defecation and the exhaust. If not receive timely and effective treatment, the patient eventually died of shock will occur. Therefore, the gallstone ileus is another gallstone caused serious complications.
Abdominal X-ray examination in the diagnosis of intestinal obstruction stone will be very useful. In abdominal X-ray, we can see a plot gas, effusion and expansion of intestinal loop, and sometimes blocked intestine can see the shadow of gallstones, according to these doctors can make the correct diagnosis. The gallstone ileus patients to active treatment, such as transfusion, blood transfusion to correct shock, and timely treatment, remove intestinal blockage in the stone to remove obstruction. Through effective treatment, most patients can pull through.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment