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A Multidisciplinary Approach to Management of Bouveret Syndrome
Ryan S Watson1, Trey E Folkers2, Marvin J Van Every3
1Department of Medical Education, Gundersen Medical Foundation, La Crosse, Wisconsin USA.
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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