Giant Gallstones – a Systematic Review
Reviews
Amjaad Alkhezzi
Qassim University, Kingdom of Saudi Arabia
Sajad Ahmad Salati
Qassim University, Kingdom of Saudi Arabia
Lamees Sulaiman Alsulaim
Qassim University, Kingdom of Saudi Arabia
Mohammad Ahmed Elmuttalut
Al-Rayan National College of Medicine, Kingdom of Saudi Arabia
Yasir Ahmed Alsalamah
Qassim University, Kingdom of Saudi Arabia
Published 2024-06-12
https://doi.org/10.15388/LietChirur.2024.23(2).3
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Keywords

giant gallstone
cancer
intestinal obstruction
cholecystectomy
cholecystoenteric fistula
Bouveret syndrome

How to Cite

1.
Alkhezzi A, Salati SA, Alsulaim LS, Elmuttalut MA, Alsalamah YA. Giant Gallstones – a Systematic Review. LS [Internet]. 2024 Jun. 12 [cited 2024 Jun. 28];23(2):97-107. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35684

Abstract

Giant gallstones are rare occurrences and measure 5 cm in any one dimension. They present unique set of features and complications. Due to their rarity, we conducted this systematic review to investigate the profile of patients with giant gallstones applying seven variables. For this study, we used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After an initial search of 111 peer reviewed articles from reliable sources, we included 29 articles for this study enrolling 30 patients with mean age of 66.7 years. Majority (97%) were symptomatic, reporting with cholecysto-enteric fistula/gallstone ileus (33%), acute cholecystitis (30%) and chronic dyspepsia (24%). The management options adopted included open cholecystectomy (48%), laparoscopic cholecystectomy (33%), endoscopic lithotripsy (6%) and conservative management (6%).

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