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Thomas N Walsh
Ian Robertson
Gary A Bass
Michael R Boland


Medicine & Nursing

literature review systematic review surgery cholecystogastric fistula surgical management medicine and health sciences brief report

Cholecystogastric fistula: a brief report and review of the literature. (2013)

Abstract Cholecystogastric fistula is a rare, life-threatening complication of cholelithiasis that presents a difficult challenge to the surgeon when it occurs in elderly and co-morbid patients. Following a case of a 68-year-old female who presented with a short history of epigastric pain and vomiting, and in whom a cholecystogastric fistula was identified on abdominal computed tomography and confirmed on upper gastrointestinal endoscopy, we performed a systematic review of the literature on the management of cholecystogastric fistula. Our patient underwent laparotomy without excision of the fistula nor cholecystectomy and had an uncomplicated post-operative course. Surgical management using an open approach remains the mainstay of treatment of cholecystogastric fistula although laparoscopic techniques are used with increasing success. Surgical closure of the fistula is not always necessary. Improved surgical techniques including the use of laparoscopic surgery have led to improved outcomes in the management of cholecystogastric fistula.
Collections Ireland -> Royal College of Surgeons in Ireland -> Department of Surgery
Ireland -> Royal College of Surgeons in Ireland -> Surgery Articles

Full list of authors on original publication

Thomas N Walsh, Ian Robertson, Gary A Bass, Michael R Boland

Experts in our system

T N Walsh
IT Blanchardstown
Total Publications: 53
Ian H Robertson
Trinity College Dublin
Total Publications: 157
Gary A Bass
IT Blanchardstown
Total Publications: 8