A multidisciplinary approach to management of bouveret syndrome

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Abstract

Bouveret Syndrome is a rare complication of gallstone disease that occurs when a gallstone enters the stomach or bowel through a biliary enteric fistula and becomes impacted, resulting in gastric outlet obstruction. It is frequently seen in elderly chronically ill patients with neglected biliary disease. We describe a multidisciplinary approach to management of Bouveret Syndrome that could be adopted by healthcare systems with resources commonly found in facilities with a general urologist and gastroenterologist or general surgeon. Successful application of laser lithotripsy under endoscopic guidance sufficiently fractured the stone to allow for disimpaction and relief of the gastric outlet obstruction.

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Watson, R. S., Folkers, T. E., & Van Every, M. J. (2018). A multidisciplinary approach to management of bouveret syndrome. Clinical Medicine and Research, 16(3–4), 73–75. https://doi.org/10.3121/CMR.2018.1430

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