The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases
Objective. Due to the rarity of recurrent gallstone ileus (RGSI), its epidemiological and clinical features are elusive. With a focus on mortality and the site of impaction, this study consolidates the key clinical characteristics of index GSI (IGSI) and RGSI. Methods. A meta-analysis of cases repor...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2021/5539789 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562783541002240 |
|---|---|
| author | Nasser A. N. Alzerwi Bandar Idrees Saeed Alsareii Yaser Aldebasi Afnan Alsultan |
| author_facet | Nasser A. N. Alzerwi Bandar Idrees Saeed Alsareii Yaser Aldebasi Afnan Alsultan |
| author_sort | Nasser A. N. Alzerwi |
| collection | DOAJ |
| description | Objective. Due to the rarity of recurrent gallstone ileus (RGSI), its epidemiological and clinical features are elusive. With a focus on mortality and the site of impaction, this study consolidates the key clinical characteristics of index GSI (IGSI) and RGSI. Methods. A meta-analysis of cases reported on RGSI was performed. Risk factors for mortality and site of impaction were examined, and a subgroup analysis was performed for age, sex, and site of impaction (jejunum, ileum, or others). Results. In the final analysis, 50 (56 individual cases) studies were included. The paired data for the site of impaction was available for 45 patients. Women accounted for 87.3% of all RGSI cases included in the pooled analysis. The median age (interquartile range, IQR) of the patients was 70 (63–76) years, and the median time of recurrence (IQR) was 20.5 (8.5–95.5) days. The overall mortality rate was 11.8%, without correlation between the mortality rate and age, the time of recurrence, or the site of impaction. The region in which the stone was found in RGSI and IGSI was similar in most cases p=0.002. Logistic regression also revealed a higher probability of stone impaction in the ileum in RGSI if it was the site of impaction in IGSI. In most cases, enterolithotomy was the preferred method. Conclusions. A high index of suspicion for RGSI should be maintained for older women with a history of GSI. The region where the stone was impacted during IGSI should be investigated first in such patients. |
| format | Article |
| id | doaj-art-00958eba4c0e49b3b63224393f800ce2 |
| institution | Kabale University |
| issn | 2291-2797 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-00958eba4c0e49b3b63224393f800ce22025-02-03T01:21:45ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27972021-01-01202110.1155/2021/5539789The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported CasesNasser A. N. Alzerwi0Bandar Idrees1Saeed Alsareii2Yaser Aldebasi3Afnan Alsultan4Department of SurgeryGastrointestinal, Biliopancreatic, and Minimally Invasive Surgery at Department of SurgeryDepartment of SurgeryBoard Certified General SurgeonResident in TrainingObjective. Due to the rarity of recurrent gallstone ileus (RGSI), its epidemiological and clinical features are elusive. With a focus on mortality and the site of impaction, this study consolidates the key clinical characteristics of index GSI (IGSI) and RGSI. Methods. A meta-analysis of cases reported on RGSI was performed. Risk factors for mortality and site of impaction were examined, and a subgroup analysis was performed for age, sex, and site of impaction (jejunum, ileum, or others). Results. In the final analysis, 50 (56 individual cases) studies were included. The paired data for the site of impaction was available for 45 patients. Women accounted for 87.3% of all RGSI cases included in the pooled analysis. The median age (interquartile range, IQR) of the patients was 70 (63–76) years, and the median time of recurrence (IQR) was 20.5 (8.5–95.5) days. The overall mortality rate was 11.8%, without correlation between the mortality rate and age, the time of recurrence, or the site of impaction. The region in which the stone was found in RGSI and IGSI was similar in most cases p=0.002. Logistic regression also revealed a higher probability of stone impaction in the ileum in RGSI if it was the site of impaction in IGSI. In most cases, enterolithotomy was the preferred method. Conclusions. A high index of suspicion for RGSI should be maintained for older women with a history of GSI. The region where the stone was impacted during IGSI should be investigated first in such patients.http://dx.doi.org/10.1155/2021/5539789 |
| spellingShingle | Nasser A. N. Alzerwi Bandar Idrees Saeed Alsareii Yaser Aldebasi Afnan Alsultan The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases Canadian Journal of Gastroenterology and Hepatology |
| title | The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases |
| title_full | The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases |
| title_fullStr | The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases |
| title_full_unstemmed | The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases |
| title_short | The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases |
| title_sort | regularity of the site of impaction in recurrent gallstone ileus a systematic review and meta analysis of reported cases |
| url | http://dx.doi.org/10.1155/2021/5539789 |
| work_keys_str_mv | AT nasseranalzerwi theregularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT bandaridrees theregularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT saeedalsareii theregularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT yaseraldebasi theregularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT afnanalsultan theregularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT nasseranalzerwi regularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT bandaridrees regularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT saeedalsareii regularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT yaseraldebasi regularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases AT afnanalsultan regularityofthesiteofimpactioninrecurrentgallstoneileusasystematicreviewandmetaanalysisofreportedcases |