Abstract
A retrospective study of 152 ileostomates with inflammatory bowel disease (IBD) revealed that 16 patients (10.5 per cent) had diagnoses of cholelithiasis before, at the time of, or after having ileostomies. Of the remaining patients, 69 were followed for possible cholelithiasis, most of those with sonographic examination. Sixteen of this latter group of patients (23.2 per cent) were found to have cholelithiasis, usually in an asymptomatic stage. Among women over 50 years old, seven of 11 (63.6 per cent) had gallstones. Due to this high prevalence of cholelithiasis, gallbladder imaging is recommended as a part of the preoperative workup and follow-up of ileostomates. Prophylactic cholecystectomy may be carefully considered in female patients with IBD at the time of proctocolectomy.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Cohen S, Kaplan M, Gottlieb L, Patterson J. Liver disease and gallstones in regional enteritis. Gastroenterology 1971;60:23–45.
Heaton KW, Read AE. Gallstones in patients with disorders of the terminal ileum and disturbed bile salt metabolism. Br Med J 1969;3:494–6.
Hill GL, Mair WSJ, Goligher JC. Gallstones after ileostomy and ileal resection. Gut 1975;16:932–6.
Baker A, Kaplan MM, Norton A, Paterson J. Gallstones in inflammatory bowel disease. Dig Dis Sci 1974;19:109–12.
Jones MR, Evans GKT, Rhodes J. The prevalence of gallbladder disease in patients with ileostomy. Clin Radiol 1976;27:561–2.
Spiro HM. Clinical gastroenterology. 2nd ed. New York: MacMillan, 1979.
Small DM. Gallstones. N Engl J Med 1968;279:588–93.
Hordison WG, Rosenberg IH. Bile salt deficiency in the steatorrhea following resection of the ileum and proximal colon. N Engl J Med 1967;277:337–42.
Percy-Rab IW, Jalan KV, McManus JPA, Sircus W. Effects of ileal resection on bile salt metabolism in patients with ileostomy following proctocolectomy. Clin Sci 1971;41:371–82.
Dowling RH, Bell GD, White J. Lithogenic bile in patients with ileal dysfunction. Gut 1972;13:415–20.
Heaton KW. Disturbances of bile acid metabolism in intestinal disease. Clin Gastroenterol 1977;6:69–89.
Sleisenger MH, Fordtran JH. Gastrointestinal diseases. 2nd ed. Philadelphia: WB Saunders, 1978.
Gallbladder Survey Committee Ohio Chapter, ACS. “28,621 cholecystectomies in Ohio”. Am J Surg 1970;119:714–7.
Alley PG, Lee SP. The increased risk of proximal colonic cancer after cholecystectomy. Dis Colon Rectum 1983;26:522–4.
Author information
Authors and Affiliations
Additional information
Read at the meeting of the American Society of Colon and Rectal Surgcons, San Francisco, California, May 2 to 6, 1982.
About this article
Cite this article
Kurchin, A., Ray, J.E., Bluth, E.I. et al. Cholelithiasis in ileostomy patients. Dis Colon Rectum 27, 585–588 (1984). https://doi.org/10.1007/BF02553842
Issue Date:
DOI: https://doi.org/10.1007/BF02553842