Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos

Bouveret syndrome is a duodenal obstruction caused by a biliary stone. Aim: To report patients with Bouveret syndrome. Material and Methods: Retrospective review of medical records of patients with Bouveret syndrome treated between 1976 and 2006. Results: We report three women and one man with a mea...

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Autores principales:	Iñíguez,Armando, Butte,Jean Michel, Zúñiga,José Miguel, Crovari,Fernando, Llanos,Osvaldo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Duodenostomy Duodenal obstruction Gallstones
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000200004
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spelling	oai:scielo:S0034-988720080002000042008-07-28Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicosIñíguez,ArmandoButte,Jean MichelZúñiga,José MiguelCrovari,FernandoLlanos,Osvaldo Duodenostomy Duodenal obstruction Gallstones Bouveret syndrome is a duodenal obstruction caused by a biliary stone. Aim: To report patients with Bouveret syndrome. Material and Methods: Retrospective review of medical records of patients with Bouveret syndrome treated between 1976 and 2006. Results: We report three women and one man with a mean age of 62.5 years. None had a previous diagnosis of cholelithiasis. AH presented with colicky pain in the right upper quadrant and vomiting, suggesting gastric retention. The diagnosis was suspected after a barium meal in two patients and with a CT scan on the other two. The endoscopical extraction or fragmentation of stones was attempted in three patients but was successful only in one. Three patients were operated and a stone impacted in the first portion of the duodenum was identified, along with a cholecystoduodenal fistula. A duodenostomy and stone extraction was performed. One patient was subjected to a cholecystectomy fistula repair and gastrojejunoanastomosis. No patient died and all were discharged within 8 to 12 days after surgery. Conclusions: Bouveret syndrome is an uncommon complication of cholelithiasis. Endoscopy can be diagnostic and therapeutic. Surgery is the other therapeutic optioninfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.2 20082008-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000200004es10.4067/S0034-98872008000200004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Duodenostomy Duodenal obstruction Gallstones
spellingShingle	Duodenostomy Duodenal obstruction Gallstones Iñíguez,Armando Butte,Jean Michel Zúñiga,José Miguel Crovari,Fernando Llanos,Osvaldo Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos
description	Bouveret syndrome is a duodenal obstruction caused by a biliary stone. Aim: To report patients with Bouveret syndrome. Material and Methods: Retrospective review of medical records of patients with Bouveret syndrome treated between 1976 and 2006. Results: We report three women and one man with a mean age of 62.5 years. None had a previous diagnosis of cholelithiasis. AH presented with colicky pain in the right upper quadrant and vomiting, suggesting gastric retention. The diagnosis was suspected after a barium meal in two patients and with a CT scan on the other two. The endoscopical extraction or fragmentation of stones was attempted in three patients but was successful only in one. Three patients were operated and a stone impacted in the first portion of the duodenum was identified, along with a cholecystoduodenal fistula. A duodenostomy and stone extraction was performed. One patient was subjected to a cholecystectomy fistula repair and gastrojejunoanastomosis. No patient died and all were discharged within 8 to 12 days after surgery. Conclusions: Bouveret syndrome is an uncommon complication of cholelithiasis. Endoscopy can be diagnostic and therapeutic. Surgery is the other therapeutic option
author	Iñíguez,Armando Butte,Jean Michel Zúñiga,José Miguel Crovari,Fernando Llanos,Osvaldo
author_facet	Iñíguez,Armando Butte,Jean Michel Zúñiga,José Miguel Crovari,Fernando Llanos,Osvaldo
author_sort	Iñíguez,Armando
title	Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos
title_short	Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos
title_full	Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos
title_fullStr	Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos
title_full_unstemmed	Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos
title_sort	síndrome de bouveret: resolución endóscopica y quirúrgica de cuatro casos clínicos
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000200004
work_keys_str_mv	AT iniguezarmando sindromedebouveretresolucionendoscopicayquirurgicadecuatrocasosclinicos AT buttejeanmichel sindromedebouveretresolucionendoscopicayquirurgicadecuatrocasosclinicos AT zunigajosemiguel sindromedebouveretresolucionendoscopicayquirurgicadecuatrocasosclinicos AT crovarifernando sindromedebouveretresolucionendoscopicayquirurgicadecuatrocasosclinicos AT llanososvaldo sindromedebouveretresolucionendoscopicayquirurgicadecuatrocasosclinicos
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Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos

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