Objective To appraise operative and synthesize treatment effect in the elderly ptients with heavy choledochitis combined multiple organ dysfunction(MOD).
If the other organ is the small intestine, then this is called a cholecystoenteric fistula, and the fistula becomes a direct route for gallstones to enter the bowel.
Chemotherapy kills the remaining cancer cells but also has adverse side effects, nausea, hair loss, fatigue, as well as possible infertility and damage to some organs.
In addition, the goals are to support the various organs using supportive measures like ventilator support, hemodynamic support, and transfusions if they're needed.
Eventually these repeated bouts of inflammation might cause the gallbladder wall to thin out and erode away completely, forming a fistula which is essentially a passageway between the gall bladder and the organ that it's stuck to.
As a result, the gallbladder wall can actually adhere to a nearby structure, most commonly at the duodenum, but occasionally to the stomach, colon, and jejunum.