{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:36:42Z","timestamp":1791466602970,"version":"4.3.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T00:00:00Z","timestamp":1686009600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Gallstone ileus is an uncommon but well-described occurrence in general surgery. However, discrepancy regarding optimal surgical management with 1 or 2 stage operation is still debated. This case report presents a 73-year-old woman who presented to the emergency department (ED) with a small bowel obstruction due to a gallstone lodged in a portion of the proximal ileum. The patient was also noted to have persistent cholelithiasis and cholecystoduodenal fistula. A single-stage surgery involving enterolithotomy, cholecystectomy, fistula repair, and cholangioscopy was performed. The patient progressed well and was discharged home without recurrent symptoms. Therefore, in a hemodynamically stable patient with persistent cholelithiasis or choledocholithiasis, it is reasonable to perform a definitive single-stage operation.<\/jats:p>","DOI":"10.1177\/00031348231175130","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T18:37:19Z","timestamp":1686076639000},"page":"3956-3958","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Gallstone Ileus With Persistent Cholelithiasis and Choledocholithiasis"],"prefix":"10.1177","volume":"89","author":[{"given":"Megan","family":"Ayres","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-5249","authenticated-orcid":false,"given":"Cecelia","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevy","family":"Ramos","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Bracken","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,6]]},"reference":[{"key":"bibr1-00031348231175130","first-page":"300","volume":"93","author":"Vasilescu AM","year":"2022","journal-title":"Ann Ital Chir"},{"key":"bibr2-00031348231175130","doi-asserted-by":"publisher","DOI":"10.1016\/j.rgmx.2016.07.006"},{"key":"bibr3-00031348231175130","first-page":"441","volume":"60","author":"Reisner RM","year":"1994","journal-title":"Am Surg"},{"key":"bibr4-00031348231175130","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjac057"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231175130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231175130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231175130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:52Z","timestamp":1777379872000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231175130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,6]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00031348231175130"],"URL":"https:\/\/doi.org\/10.1177\/00031348231175130","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,6]]}}}