Cholelithiasis in ileostomy patients

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Abstract
A retrospective study of 152 ileostomates with inflammatory bowel disease (IBD) revealed that 16 patients (10.5%) had diagnoses of cholelithiasis before, at the time of, or after having ileostomies. Of the remaining patients, 69 were followed for possible cholelithias, most of those with sonographic examination; 16 of this latter group of patients (23.2%) were found to have cholelithiasis usually in an asymptomatic stage. Among women over 50 years old, 7 of 11 (63.6%) had gallstones. Due to the high prevalence of cholelithiasis, gallbladder imaging is recommended as part of preoperative workup and follow-up of ileostomates. Prophylactic cholecystectomy may be carefully considered in female patients with IBD at the time of proctocolectomy.