Rehman Abdul, Hasan Zubair, Saeed Aisha, Jamil Kashif, Azeem Qasim, Zaidi Amjad, Abduallah Kamran, Rustam Tanzeel
Department of General Surgery, PAEC General Hospital, Islamabad.
J Coll Physicians Surg Pak. 2008 Jul;18(7):435-7.
Gastric Outlet Obstruction (GOO) due to impaction of a gallstone in the duodenum after migration through a bilioduodenal fistula is known as Bouveret's syndrome. Its clinical symptoms are entirely vague and nonspecific. Because of its rarity, insidiousness and unpredictable symptomatology, Bouveret's syndrome is never thought of in the differential diagnosis as aetiology of gastric outlet obstruction. Recent advances in fiberoptics technology, advent of modern imaging modalities and minimally-invasive techniques like endoscopy and laparoscopy has brought a great revolution in the management of Bouveret's syndrome and have tremendously decreased morbidity and mortality associated with this rare clinical entity.
胆结石经胆十二指肠瘘迁移至十二指肠后造成的胃出口梗阻（GOO）被称为布韦雷氏综合征。其临床症状完全模糊且不具特异性。由于其罕见性、隐匿性和不可预测的症状表现，在胃出口梗阻病因的鉴别诊断中从未考虑过布韦雷氏综合征。纤维光学技术的最新进展、现代成像方式的出现以及诸如内镜检查和腹腔镜检查等微创技术给布韦雷氏综合征的治疗带来了巨大变革，并极大地降低了与这种罕见临床病症相关的发病率和死亡率。
