Successful Multimodality Endoscopic Treatment of Gastric Outlet Obstruction Caused by an Impacted Gallstone (Bouveret's Syndrome)
Joint Authors
Rogart, Jason N.
Nagar, Anil
Perkal, Melissa
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2008, Issue 2008 (31 Dec. 2008), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2007-11-27
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Bouveret's syndrome is a rare condition of gastric outlet obstruction resulting from the migration of a gallstone through a choledochoduodenal fistula.
Due to the large size of these stones and the difficult location in which they become impacted, endoscopic treatment is unsuccessful and most patients require surgery.
We report the case of an elderly male who presented with nausea and hematemesis, and was found on CT scan and endoscopy to have an obstructing gallstone in his duodenal bulb.
After several endoscopic sessions and the use of multiple instruments including a Holmium: YAG laser and electrohydraulic lithotripter, fragmentation and endoscopic removal of the stone were successful.
We believe this to be the first case of Bouveret's syndrome successfully treated by endoscopy alone in the United States.
We describe the difficulties encountered which necessitated varied and innovative therapeutic techniques.
American Psychological Association (APA)
Rogart, Jason N.& Perkal, Melissa& Nagar, Anil. 2007. Successful Multimodality Endoscopic Treatment of Gastric Outlet Obstruction Caused by an Impacted Gallstone (Bouveret's Syndrome). Diagnostic and Therapeutic Endoscopy،Vol. 2008, no. 2008, pp.1-5.
https://search.emarefa.net/detail/BIM-474139
Modern Language Association (MLA)
Rogart, Jason N.…[et al.]. Successful Multimodality Endoscopic Treatment of Gastric Outlet Obstruction Caused by an Impacted Gallstone (Bouveret's Syndrome). Diagnostic and Therapeutic Endoscopy No. 2008 (2008), pp.1-5.
https://search.emarefa.net/detail/BIM-474139
American Medical Association (AMA)
Rogart, Jason N.& Perkal, Melissa& Nagar, Anil. Successful Multimodality Endoscopic Treatment of Gastric Outlet Obstruction Caused by an Impacted Gallstone (Bouveret's Syndrome). Diagnostic and Therapeutic Endoscopy. 2007. Vol. 2008, no. 2008, pp.1-5.
https://search.emarefa.net/detail/BIM-474139
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474139