A systematic review of gallstone sigmoid ileus management

Conclusions There is no management consensus from the literature. Current evidence highlights endoscopy and lithotripsy as practical firstline strategies. However, surgical intervention should not be delayed if non-operative measures fail or in emergency. Given the complexity of such patients, less invasive timesaving surgery appears practical, avoiding bowel resection and associated complications.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research