Bouveret Syndrome

Englert, Zachary P.; Love, Katie M.; Marilley, Mark D.; Bower, Curtis E.

doi:10.1097/sle.0b013e318262ec13

Cited by 11 publications

(4 citation statements)

References 9 publications

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“… 23 – 27 The remainder of the small intestine should be examined to ensure there are no other potential large enteric stones that may result in postoperative obstruction. 24 , 28 , 29…”

Section: Discussionmentioning

confidence: 99%

Bouveret syndrome: current management strategies

Caldwell

Lee

Leggett

et al. 2018

CEG

107

105

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Bouveret syndrome is a rare complication of cholelithiasis that usually presents with signs and symptoms of gastric outlet obstruction. Given the relative rarity of this condition, there are no standardized guidelines for the management of this condition. In this paper, we review the diagnosis and management options (endoscopic, laparoscopic, and open approaches) of patients with Bouveret syndrome, including a report of one case to illustrate some of the endoscopic and surgical principles of management.

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“… 23 – 27 The remainder of the small intestine should be examined to ensure there are no other potential large enteric stones that may result in postoperative obstruction. 24 , 28 , 29…”

Section: Discussionmentioning

confidence: 99%

Bouveret syndrome: current management strategies

Caldwell

Lee

Leggett

et al. 2018

CEG

107

105

View full text Add to dashboard Cite

show abstract

“…9 Factors that lean toward fistula formation include, but are not limited to, large gallstones, extensive history of biliary disease, recurrent episodes of cholecystitis, female sex, age older than 60 years, peptic ulcer, and tumors. 5,8,10…”

Section: Discussionmentioning

confidence: 99%

“…CT scan is the most sensitive diagnostic test for gallstone ileus; however, it can miss 25% of gallstones if they are radiolucent. 10 Other options for investigation are ultrasound and x-ray of the abdomen. Isoattenuating gallstones, which are difficult to distinguish from the surrounding bile, are visualized by magnetic resonance cholangiopancreatography in 15%–25% of cases and endoscopy in 69% of cases.…”

Section: Discussionmentioning

confidence: 99%

Bouveret Syndrome: When a Stone Cannot Pass the Pylorus

Khuwaja¹,

Azeem²,

Semkhayev³

et al. 2019

ACG Case Rep J

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Bouveret syndrome, a rare cause of intestinal obstruction, occurs by passage of a gallstone through a cholecystoduodenal fistula into the intestinal lumen. Presenting symptoms are nausea, vomiting, and abdominal pain. In some cases, chronic symptoms result in weight loss. Typically, the syndrome is diagnosed via x-ray, ultrasound, or computed tomography. Treatment options are endoscopic or surgical. Endoscopic approaches include mechanical lithotripsy, electrohydraulic lithotripsy, stone extraction, laser lithotripsy, extracorporeal shockwave lithotripsy, and/or duodenal stenting. When stone fragments migrate distally, surgical removal becomes necessary. We describe a distinct endoscopic treatment via stone breakage, followed by pushing the fragments of the stone into the jejunum, resolving the intestinal obstruction.

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“…Intervention with stone extraction or disruption is recommended to relieve the obstruction 7 . Although endoscopic treatment for gallstone ileus has been described previously, successful cases are rare, and the majority of cases reported involved a surgical procedure 10 . Therefore, surgery is considered to be the standard procedure for the management of GI.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic surgery for gallstone ileus: An alternative surgical procedure

Watanabe

Takemoto

Miyatake

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONGallstone ileus (GI) results from the passage of a stone through a cholecystoenteric fistula, subsequently causing a bowel obstruction. The ideal treatment procedure for GI remains controversial.PRESENTATION OF CASEA 63-year-old female was admitted to our hospital following persistent nausea and vomiting for 7 days. Computed tomography revealed a partially calcified 4-cm circular object in the jejunum, and the proximal intestine was dilated, with concomitant pneumobilia. Based on the preoperative diagnosis of GI, enterotomy with stone extraction by single-incision laparoscopic surgery (SILS) was performed. The patient's postoperative course was uneventful, and the cholecystoduodenal fistula closed spontaneously 4 months after the surgery.DISCUSSIONRecent studies have reported that enterotomy with stone extraction alone is associated with better outcomes than with more invasive techniques. This case also suggests that enterotomy with stone extraction alone and careful postoperative follow-up is feasible for the management of GI. Although the use of laparoscopy in the management of GI has been described previously, laparoscopic surgery has not been widely performed, and SILS is not generally performed. When only this less demanding procedure is required, laparoscopic surgery, including SILS, can be a viable option.CONCLUSIONSILS can be an alternative surgical procedure for the management of GI.

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Bouveret Syndrome

Cited by 11 publications

References 9 publications

Bouveret syndrome: current management strategies

Bouveret syndrome: current management strategies

Bouveret Syndrome: When a Stone Cannot Pass the Pylorus

Single-incision laparoscopic surgery for gallstone ileus: An alternative surgical procedure

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