sepsis choelithias with duodenal fistula?

Question

what is it and what could happen?

Answer 1

Sepsis is the body's systemic response to infection. The infection can stem from a variety of sources and if bad enough cause multisystem organ failure(sepsis). Systems that can be and usually are effected are:
Kidneys-which may require dialysis
Cardiovascular-which may require IV drips to control dangerously low blood pressure and high heart rate (tachycardia).
Pancreas-which may require insulin to control blood sugar
Respiratory-which requires support from additional oxygen per nasal prongs, Bi Pap or even ventilator (breathing machine).
The cholelithiasis refers to complications of the gallbladder.
Duodenal fistula is an hole in the duodenum--the first part of the small intestine.
This is just general information regarding your question. The best place to get answers is the doctors and nurses charged with the care of the patient with this diagnosis. Only they know all of the information regarding that specific patient and the specific care that individual requires. Every time you think of a question, write it down in a notebook. Each time you see a doctor or nurse that takes care of this person you can ask them your list of questions.That way you be more organized in your approach and get the information you seek. Each time you see a doctor or nurse that takes care of this person you can ask them your list of questions. Keep a notebook so that you can keep track of the information you receive. It can be confusing because you have so many things on your mind when a loved one is in the hospital. I applaud your efforts to seek information, but you need to seek it from the appropriate sources. Being misinformed can be as dangerous, if not more dangerous as being uninformed.
I hope this helped.

Answer 2

You have a lot of people making GUESSES.

Although I cannot read your mind (nor the patient's chart), I can make a much more educated guess than they have done for you so far.

In some odd cases of gallstones (cholelithiasis) there is a very large stone that develops in the gallbladder, and this causes chronic inflammation and scarring of the gallbladder wall. It just so happens that the gallbladder lies over the junction between the stomach and the first portion of the intestine termed the "duodenum", and in some cases of chronic inflammation of the gallbladder, it actually scars down to and STICKS ON the duodenum. When this happens, the gallstone can erode through both walls (the wall of the gallbladder AND the wall of the duodenum) it then falls into the intestinal tract and moves along as if it was swallowed. Resulting from this, there is now a hole that connects the gallbladder to the intestine, which is generically refered to as a biliary-enteric fistula, or more specifically a cholecystoduodenal fistula, named for the specific biliary structure (the gallbladder = cholecyst...) and the specific gut (enteric) structure, i.e., the duodenum.

In some patients, this happens and we never even know about it until a few days later when the enormous gallstone actually BLOCKS OFF the intestine, causing a bowel obstruction. This is called "gallstone ileus". In other cases, the same phenomenon is occuring but the fistula (the hole that now connects the gallbladder to the duodenum) becomes a source of intestinal contamination that rises into the bile ducts and creates biliary sepsis. I suppose it would also be possible for an imperfect fistula to form, and for leakage to cause abdominal sepsis, but I haven't actually seen that happen. The few cases I've seen involving biliary-enteric fistula formation have at least remained contained. There has not been leakage.

This is primarily a problem of older people, and as such, the real question is whether or not they have the health and resillience to withstand the stresses to their system caused by this illness and its complications. What could happen? ... ANYTHING. When older folks suffer urgent medical problems, they are at much higher risk of having cardiac or respiratory problems as a result.

The treatment for a biliary-enteric fistula is surgical. In sicker patients, sometimes a very limited surgery will be performed in order to help stop the process that tends to make the patient sicker, and then later after recovery, a more definitive operation is perfomed. In cases where the gallstones travelling down the bowel become obstructive, the life-threatening condition is the bowel obstruction, not the fistula. However, in case of biliary infection, the fistula is probably a major source of contamination and needs to be dealt with urgently. There are a number of options for this, and it would depend on the patient and the resources available.

If you have any specific questions about this topic, feel free to contact me. Understand, of course, that I cannot participate in the diagnostic process over the internet, and at best, I can interpret things that you can report to me accurately, or I can supply general knowledge base information.

... I hope that helps.

Answer 3

Sepsis = infection
Choelithias = gallstone
Duodenal = small intestine
Fistula = artificial opening from an organ to the skin

It seems that the patient developed a gallstone which got stuck in the biliary tract (i.e. the connection from the gallbladder to the small intestine). The blockage of the biliary tract caused an infection which spread to the small intestine. Once in the small intestine, the infection ate away at the walls of the small intestine and it kept on eating away until it reached the outer skin. This patient is very sick and will most likely require surgery and IV antibiotics.

Answer 4

This sounds uncomfortable sorry to hear you had to through this. You are scheduled to have an operation in 1 or 2 weeks and in the meantime the antibodies will suffice. You have had this problem for a while now and thank goodness nothing systemic has occurred so i would say just wait for the operation and take the meds in the meantime. I would NEVER take baths for this. I think you may have even exacerbated your problem by taking baths all along. Moisture is the enemy of healing wounds and tissues. You need to keep the area dry. Bath tubs have so much bacteria in them and some people develop UTI from being in bath tubs that have not been cleaned properly as it is the case with most bath tubs. I am not sure if you mentioned you took baths to your doctor but if you did he would have told you that it is not a good idea.

Answer 5

sepsis is infection,and the fistula is a rupture of the duodenal wall?so yu have an infection of the duodenal intestine with rupture??did they say anything about precancerous??

Answer 6

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