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布韦里综合征:当前的管理策略

Bouveret syndrome: current management strategies.

作者信息

Caldwell Kelly M, Lee Seeyuen J, Leggett Phillip L, Bajwa Kulvinder S, Mehta Sheilendra S, Shah Shinil K

机构信息

Department of Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.

Michael E. Debakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A&M University, College Station, TX, USA.

出版信息

Clin Exp Gastroenterol. 2018 Feb 15;11:69-75. doi: 10.2147/CEG.S132069. eCollection 2018.

DOI:10.2147/CEG.S132069
PMID:29497323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5819584/
Abstract

Bouveret syndrome is a rare complication of cholelithiasis that usually presents with signs and symptoms of gastric outlet obstruction. Given the relative rarity of this condition, there are no standardized guidelines for the management of this condition. In this paper, we review the diagnosis and management options (endoscopic, laparoscopic, and open approaches) of patients with Bouveret syndrome, including a report of one case to illustrate some of the endoscopic and surgical principles of management.

摘要

布韦雷综合征是胆石症的一种罕见并发症,通常表现为胃出口梗阻的体征和症状。鉴于这种疾病相对罕见,目前尚无针对其治疗的标准化指南。在本文中,我们回顾了布韦雷综合征患者的诊断和治疗选择(内镜、腹腔镜和开放手术方法),并报告了一例病例以说明一些内镜和手术治疗原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/b7ee4c2d35e5/ceg-11-069Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/1ca89b183477/ceg-11-069Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/7865db6fc55e/ceg-11-069Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/48082dd0f204/ceg-11-069Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/b7ee4c2d35e5/ceg-11-069Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/1ca89b183477/ceg-11-069Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/7865db6fc55e/ceg-11-069Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/48082dd0f204/ceg-11-069Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5819584/b7ee4c2d35e5/ceg-11-069Fig4.jpg

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Bouveret syndrome: current management strategies.布韦里综合征:当前的管理策略
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引用本文的文献

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One-stage procedure for the management of Bouveret's syndrome: A case report and operative video.Bouveret综合征的一期治疗方法:病例报告及手术视频
Int J Surg Case Rep. 2025 Jul 22;134:111719. doi: 10.1016/j.ijscr.2025.111719.
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Intraoperative diagnosis of Bouveret syndrome requiring urgent endoscopic intervention: A case report.

本文引用的文献

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Laser lithotripsy resolution for Bouveret syndrome.布韦雷特综合征的激光碎石术疗效
Endoscopy. 2017 Feb;49(S 01):E101-E102. doi: 10.1055/s-0043-102178. Epub 2017 Feb 13.
2
Bouveret syndrome and pancreatic acinar cell carcinoma.布韦里综合征与胰腺腺泡细胞癌。
Endoscopy. 2017 Feb;49(S 01):E62-E63. doi: 10.1055/s-0042-123499. Epub 2017 Jan 30.
3
Exploring the Diagnosis and Management of Bouveret's Syndrome.探索布韦雷氏综合征的诊断与治疗
需要紧急内镜干预的布韦雷综合征术中诊断:一例报告。
SAGE Open Med Case Rep. 2025 Jul 18;13:2050313X251359737. doi: 10.1177/2050313X251359737. eCollection 2025.
4
Case report: open surgical management of Bouveret syndrome.病例报告:布韦雷氏综合征的开放手术治疗
J Surg Case Rep. 2025 Apr 1;2025(4):rjae809. doi: 10.1093/jscr/rjae809. eCollection 2025 Apr.
5
Complex presentation of Bouveret syndrome: Gastric outlet obstruction and septic complications.布韦雷综合征的复杂表现:胃出口梗阻和感染性并发症。
Radiol Case Rep. 2025 Mar 8;20(5):2422-2427. doi: 10.1016/j.radcr.2025.02.039. eCollection 2025 May.
6
Endoscopic Treatment of Bouveret Syndrome with Combined Laser and Mechanical Lithotripsy: A Case Report.联合激光与机械碎石术的内镜治疗布韦雷特综合征:一例报告
J Clin Med. 2025 Feb 25;14(5):1530. doi: 10.3390/jcm14051530.
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Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction and Treatment Options.布韦雷综合征:胃出口梗阻的罕见病因及治疗选择
Cureus. 2025 Jan 6;17(1):e77032. doi: 10.7759/cureus.77032. eCollection 2025 Jan.
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Bouveret's Syndrome as a Rare Life-Threatening Complication of Gallstone Disease-A Surgical Problem: Two Case Reports.布韦雷氏综合征作为胆石症一种罕见的危及生命的并发症——一个外科问题:两例病例报告
Medicina (Kaunas). 2024 Dec 24;61(1):5. doi: 10.3390/medicina61010005.
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World J Gastrointest Endosc. 2025 Jan 16;17(1):101534. doi: 10.4253/wjge.v17.i1.101534.
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JNMA J Nepal Med Assoc. 2016 Jan-Mar;54(201):33-35.
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A rare presentation of gallstones: Bouveret´s syndrome, a case report.胆结石的罕见表现:布韦雷氏综合征,一例病例报告。
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