Gastric outlet obstruction that arises from gallstones impacted in the distal stomach or proximal duodenum after passing through a cholecystoduodenal, cholecystogastric or rarely choledocoduodenal fistula is called as Bouveret's syndrome and it accounts for approximately 1-3% of all the patients with gallstone ileus. Although treatment modalities, including stone removal or fragmentation with classical endoscopic devices, such as snares, and forceps or fragmentation of gallstones with new devices, such as electrohydraulic lithotripsy, laser, extracorporeal shockwave lithotripsy have been described. However, only 29% of the patients benefit from nonsurgical methods. Removal of the stone through a gastrotomy or enterotomy and performing cholecystectomy and fistula repair with a second operation is an approach recommended for older patients with comorbid diseases. In this paper, a case of Bouveret’s syndrome was presented. The authors also aimed to review the diagnosis, management and treatment of this rare disease and to update the previous reviews.
The gastrointestinal output obstruction caused by the cholecistododenal, cholecistogastric or more rarely cholecodododenal fistule is called Bouveret syndrome in the stomach distal or proximal duodenum. Bouveret syndrome occurs in 1-3% of patients with gallstone disease. Although therapeutic methods such as electrohydrolitotripsi, laser, extracorporeal shock wave litotripsi, and classic endoscopic devices such as snare-forseps are identified, only 29% of patients benefit from non-chirurgical methods. In addition to the removal of the stone with gastrotomy or enterotomy, cholesystectomy is a recommended approach for elderly patients with a comorbid disease, with a second surgery. In this article, a case of Bouveret syndrome is presented. The authors also intended to review the diagnosis and treatment of this rare disease and to collect literary information on this subject. (SETB-2018-04-054)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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