Review Article

The Regularity of the Site of Impaction in Recurrent Gallstone Ileus: A Systematic Review and Meta-Analysis of Reported Cases

Table 1

Demographic and clinical characteristics of patients.

Variable#Summary n (%) or median (Q1, Q3)

IGSIISOI (N = 47)
Jejunum16 (34.0%)
Ileum29 (61.7%)
Others2 (4.3%)
Stone ≥ 3 cm (N = 33)25 (75.8%)
Faceted stone (N = 18)12 (66.7%)
Number of stones (N = 52)
One41 (78.8%)
Two8 (15.4%)
More than two3 (5.8%)
Surgery (N = 51)
Enterolithotomy42 (82.4%)
Enterolithotomy + segmental resection5 (9.8%)
Others4 (7.8%)

RGSITime of recurrence (days) (N = 56)20.5 (8.5, 95.5)
RSOI (N = 50)
Jejunum15 (30.0%)
Ileum31 (62.0%)
Others4 (8.0%)
Age (years) (N = 55)70.0 (63.0, 76.0)
Sex (women) (N = 55)48 (87.3%)
Symptoms (RGSI) (N = 47)
Abdominal pain44 (93.6%)
Vomit38 (80.9%)
Nausea16 (34.0%)
Constipation5 (10.6%)
Symptom duration (RGSI) (N = 18)2.5 (1.0, 7.0)
Surgery (RGSI) (N = 53)
Enterolithotomy42 (79.2%)
Enterolithotomy + cholecystectomy5 (9.4%)
Enterolithotomy + segmental resection2 (3.8%)
Others4 (7.5%)
Mortality (RGSI) (N = 51)6 (11.8%)
Complications (RGSI) (N = 46)13 (28.3%)

#Continuous variables are presented as median and IQR and categorical variables as number (n) and (percentage); N represents the total number of patients for whom the data was available for that particular variable; IQR: interquartile range; GSI: gallstone ileus; RGSI: recurrent gallstone ileus; IGSI: index gallstone ileus; ISOI: site of impaction in index gallstone ileus; RSOI: site of impaction in recurrent gallstone ileus.