Bouveret's syndrome complicated by distal gallstone ileus after laser lithotropsy using Holmium: YAG laser

被引：40

作者：

Alsolaiman M.M. ^{[1
]}

Reitz C. ^{[1
]}

Nawras A.T. ^{[1
]}

Rodgers J.B. ^{[1
]}

Maliakkal B.J. ^{[1
]}

机构：

[1] Division of Gastroenterology, Department of Medicine, Albany Medical College, Albany, NY

来源：

BMC Gastroenterology | / 2卷 / 1期

关键词：

Obstructive Sleep Apnea; Extracorporal Shock Wave Lithotripsy; Gastric Outlet Obstruction; Duodenal Obstruction; Laser Lithotripsy;

D O I：

10.1186/1471-230X-2-15

中图分类号：

学科分类号：

摘要：

Background: Bouveret's syndrome is an unusual presentation of duodenal obstruction caused by the passage of a large gallstone through a cholecystoduodenal fistula. Endoscopic therapy has been used as first-line treatment, especially in patients with high surgical risk. Case presentation: We report a 67-year-old woman who underwent an endoscopic attempt to fragment and retrieve a duodenal stone using a Holmium: Yttrium-Aluminum-Garnet Laser (Ho:YAG) which resulted in small bowel obstruction. The patient successfully underwent enterolithotomy without cholecystectomy or closure of the fistula. Conclusion: We conclude that, distal gallstone obstruction, due to migration of partially fragmented stones, can occur as a possible complication of laser lithotripsy treatment of Bouveret's syndrome and might require urgent enterolithotomy. © 2002 Alsolaiman et al; licensee BioMed Central Ltd.

引用

页数：4

共 12 条

[1]

Rodriguez-Sanjuan J.C., Casado F., Fernandez M.J., Morales D.J., Naranjo A., Cholecystectomy and fistula closure versus enterolithotomy alone in gallstone ileus, Br. J. Surg., 84, pp. 634-637, (1997)

[2]

Van Dam J., Steiger E., Sivak M.V., Giant Duodenal gallstone presenting as gastric outlet obstruction Bouveret's syndrome, J. Clin. Gastroenterol., 15, pp. 150-153, (1992)

[3]

Ondreika P., Bouveret's syndrome treated by a combination of extracorporal shock wave lithotripsy (ESWL) and surgical intervention, Endoscopy, 31, (1999)

[4]

Dumonceau J.M., Endoscopic treatment of gastric outlet obstruction caused by a gallstone (Bouveret's syndrome) after extacorporal shockwave lithotripsy, Endoscopy, 29, pp. 319-321, (1997)

[5]

Maiss J., Successful treatment of Bouveret's syndrome by endoscopic laserlithotripsy, Endoscopy, 31, (1999)

[6]

Langhorst J., Schumacher B., Deselaers T., Neuhaus H., Successful endoscopic therapy of a gastric outlet obstruction due to gallstone with intracorporal laser lithotripsy: A case of Bouveret's syndrome, Gastrointest. Endosc., 5, pp. 209-213, (2000)

[7]

Kasano Y., Tanimura H., Yamaue H., Uchiyama K., Hayashido M., Hama T., Duodenal obstruction by gallstone: Case report of Bouveret's syndrome, Nippon Geka Hokan, 66, pp. 111-115, (1997)

[8]

Teichman J.M., Schwesinger W.H., Lackner J., Cossman Holmium R.M., YAG laser lithotripsy for gallstones, Surg. Endosc., 15, pp. 1034-1037, (2001)

[9]

Weickert U., Muhlen E., Janssen J., Johanns W., Greiner L., The holmium-YAG laser: A suitable instrument for stone fragmentation in choledocholithiasis. The assessment of the results of its use under babyscopic control, Dtsch. Med. Wochenschr., 30, pp. 514-518, (1999)

[10]

Iuchtman M., Sternberg A., Alffici R., Sternberg E., Fireman T., Iatrogenic gallstone ileus as a new complication of Bouveret's syndrome, Harefuah, 136, pp. 122-124, (1999)

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