Gall stone ileus

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Gall stone formation is the most common disorder of the biliary tree and it is unusual for the gall bladder,
$ h+ H. d7 r5 s; ^/ R5 k( T PATHOLOGY
They are classified  cholesterol or pigment stones, although the majority are mixed type, Cholesterol stones are most common type in industrialised countries,
Gall stones contain varying degree of calcium salts including calcium bilirubinate, carbonate, phosphate and palmitate which are radio opaque ,Marion Barber jersey,
  S# n, m% @: g4 Y5 \ Epidemiology
Gall stones occur commonly in females aged 1865 yrs ,
In those under 40 yrs there is 31 female preponderance, Gallstones are common in north america , Europe, Australia and less frequent in India and Africa ,
Risk factors
1,Increased cholesterol secretions
,Austin Collie jersey,        Elderly
- j9 c* L, [+ A( z1 o( B ,        Female
,        Pregnancy
& ^; M( m& d/ l+ N2 @8 X3 \. N+ [  ? ,        Obesity
,        Rapid weight loss
2,Impaired gall bladder emptying
,        Pregnancy
,        gallbladder stasis
6 E0 t, G% N& O& j+ }1 U& |+ |6 i ,        fasting
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" B" X  F, e2 F" N. E 3,Haloti Ngata jersey, decreased bile salts secretion
: }! e: L. I6 x, U" H6 k ,Arizona Cardinals jerseys,        Pregnancy
8 l4 J7 M) q. r8 H8 R3 ~) _# R8 ` CLINICAL FEATURES
The majority of the gall stones are asymptomatic and remain so ,only about 10% of those with gall stones develop clinical symptoms,Jets jerseys,
Symptomatic gall stones develop biliary pain or as a consequence of the cholecystitis,if the gall stone gets impacted in the cystic duct ,the patient will experience pain, the pain is of sudden onset and it lasts for 26hours,Donovan McNabb Redskins Jersey,if it lasts for more than 6hours it suggests that the compliion such as cholecystitis or pancreatitis has developed,Tim Tebow Jersey,
9 b" N' e: N, j) x, I. }/ d) c Pain is felt in the epigastrium or right upper quadrant and radiates to the inter sacapular region or to the tip of the right scapula
% U9 E- p. Y, R; s COMPLICATIONS
,        Empyema of the galladder
,Terrell Suggs jersey,        Choledecholithiasis
,        Pancreatitis
,        Fistula between gall bladder and duodenum or colon
3 H/ e- I4 `% }1 Z ,        Gall stone ileus
& Y+ L' K3 y- p5 _ ,        Carcinoma of the gall bladder
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! D+ Q6 ~4 H1 u1 d/ F# | MANAGEMENT
,        Cholesystectomy open or laproscopic
. b. A- O9 G7 z9 l ,        Oral bile acids
,        Lithotripsy
& X4 f( [6 X' I9 U ,        Endoscopic sphincterotomy
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