Cholelithiasis and Related Morbidity in Chronic Intestinal Failure: a Longitudinal Cohort Study from a National Specialized Centre.
Nathan D AppletonSimon LalGordon L CarlsonSimon ShawPhilip StevensIoannis PeristerakisMattias SoopPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2018)
Many patients with long-term intestinal failure develop gallstones over time, with a 20-year incidence of 38%. The majority of those have symptoms or complications and require intervention. Therefore, prophylactic en-passant cholecystectomy is justified when gallstones are present in type III intestinal failure, supporting routine pre-operative imaging of the gallbladder prior to abdominal surgery.