一种常见疾病的罕见表现——布韦雷氏综合征：一例病例报告及系统文献综述
Uncommon presentation of a common disease - Bouveret's syndrome: A case report and systematic literature review.
作者信息
Al-Habbal Yahya, Ng Matthew, Bird David, McQuillan Trevor, Al-Khaffaf Haytham
机构信息
Yahya AL-Habbal, Matthew Ng, Department of Surgery, Box Hill Hospital, Victoria 3128, Australia.
出版信息
World J Gastrointest Surg. 2017 Jan 27;9(1):25-36. doi: 10.4240/wjgs.v9.i1.25.
AIM
To investigate and summarise the current evidence surrounding management of Bouveret's syndrome (BS).
METHODS
A MEDLINE search was performed for the BS. The search was conducted independently by two clinicians (Yahya AL-Habbal and Matthew Ng) in April 2016. A case of BS is also described.
RESULTS
A total of 315 articles, published from 1967 to 2016, were found. For a clinically meaningful clinical review, articles published before 01/01/1990 and were excluded, leaving 235 unique articles to review. Twenty-seven articles were not available (neither by direct communication nor through inter-library transfer). These were also excluded. The final number of articles reviewed was 208. There were 161 case reports, 13 reviews, 23 images (radiological and clinical images), and 11 letters to editor. Female to male ratio was 1.82. Mean age was 74 years. Treatment modalities included laparotomy in the majority of cases, laparoscopic surgery, endoscopic surgery and shockwave lithotripsy.
CONCLUSION
There is limited evidence in the literature about the appropriate approach. We suggest an algorithm for management of BS.
目的
调查并总结目前关于布韦雷氏综合征（BS）治疗的证据。
方法
对布韦雷氏综合征进行医学文献数据库（MEDLINE）检索。检索由两名临床医生（亚希亚·阿尔-哈巴尔和马修·吴）于2016年4月独立进行。还描述了一例布韦雷氏综合征病例。
结果
共检索到1967年至2016年发表的315篇文章。为进行具有临床意义的综述，排除了1990年1月1日前发表的文章，剩余235篇独特文章进行综述。27篇文章无法获取（既无法通过直接联系也无法通过馆际互借获得），这些文章也被排除。最终综述的文章数量为208篇。其中有161篇病例报告、13篇综述、23篇图像（放射学和临床图像）以及11篇致编辑的信。女性与男性比例为1.82。平均年龄为74岁。治疗方式包括大多数病例采用剖腹手术、腹腔镜手术、内镜手术和冲击波碎石术。
结论
文献中关于合适治疗方法的证据有限。我们提出了一种布韦雷氏综合征的治疗方案。
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