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Duodenal bulb obstruction caused by a gallstone (Bouveret syndrome) successfully treated with endoscopic measures.内镜治疗成功治愈胆结石所致十二指肠球部梗阻（布韦雷综合征）。
Proc (Bayl Univ Med Cent). 2020 Jul 23;33(4):630-632. doi: 10.1080/08998280.2020.1792757.
2
Development of a duodenal gallstone ileus with gastric outlet obstruction (Bouveret syndrome) four months after successful treatment of symptomatic gallstone disease with cholecystitis and cholangitis: a case report.在成功治疗伴有胆囊炎和胆管炎的症状性胆结石疾病四个月后，发生十二指肠胆结石性肠梗阻伴胃出口梗阻（布韦雷综合征）：一例报告。
J Med Case Rep. 2010 Nov 23;4:376. doi: 10.1186/1752-1947-4-376.
3
Bouveret syndrome preceding classical gallstone ileus: a rare presentation of a cholecystoduodenal fistula.经典型胆石性肠梗阻之前的布韦雷综合征：一种罕见的胆囊十二指肠瘘表现。
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Bouveret syndrome masquerading as a gastric mass-unmasked with endoscopic luminal laser lithotripsy: A case report.伪装成胃肿物的布韦里综合征——经内镜腔内激光碎石术揭示：一例病例报告
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No Stone Left Unturned: Bouveret Syndrome Treated With Electrohydraulic Lithotripsy and Open Extraction With Pyloric Exclusion and Gastrojejunostomy.竭尽全力：采用电液压碎石术及幽门旷置和胃空肠吻合术的开放取石术治疗布韦雷综合征
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Endoscopic lithotripsy for Bouveret syndrome complicated by small bowel obstruction secondary to gallstone fragments.内镜下碎石术治疗布韦雷综合征合并胆结石碎片继发小肠梗阻
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[Bouveret syndrome diagnosed by endoscopy].[经内镜诊断的布韦雷综合征]
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Bouveret syndrome: gallstone ileus of the duodenum.布韦雷综合征：十二指肠胆石性肠梗阻。
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Bouveret's syndrome complicated by a distal gallstone ileus.布韦雷综合征并发远端胆石性肠梗阻。
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Duodenal Obstruction Due to Giant Gallstone: A Case Report.巨大胆结石导致的十二指肠梗阻：一例报告
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引用本文的文献

1
validation of a tool that accurately predicts the outcome of endoscopic therapy in Bouveret syndrome.一种准确预测布韦雷特综合征内镜治疗结果的工具的验证
Gastroenterol Rep (Oxf). 2021 Aug 25;10:goab036. doi: 10.1093/gastro/goab036. eCollection 2022.

本文引用的文献

1
Bouveret syndrome: A case report.布韦里综合征：一例病例报告。
World J Clin Cases. 2019 Dec 6;7(23):4144-4149. doi: 10.12998/wjcc.v7.i23.4144.
2
Bouveret syndrome: current management strategies.布韦里综合征：当前的管理策略
Clin Exp Gastroenterol. 2018 Feb 15;11:69-75. doi: 10.2147/CEG.S132069. eCollection 2018.
3
Electrohydraulic lithotripsy and removal of a gallstone obstructing the duodenum: Bouveret syndrome.电液压碎石术及取出阻塞十二指肠的胆结石：布韦雷综合征。
Gastrointest Endosc. 2015 Apr;81(4):1021-2. doi: 10.1016/j.gie.2014.10.045.
4
The yellow brick road of Bouveret syndrome.布韦雷特综合征的“黄砖路”
Clin Gastroenterol Hepatol. 2014 Aug;12(8):A24. doi: 10.1016/j.cgh.2014.03.028. Epub 2014 Apr 1.
5
Bouveret's syndrome: unusual case with unusual therapeutic approach.布韦雷综合征：采用非常规治疗方法的罕见病例。
Clin Gastroenterol Hepatol. 2009 Dec;7(12):e72. doi: 10.1016/j.cgh.2009.04.021. Epub 2009 May 4.
6
Successful treatment of Bouveret syndrome using holmium: YAG laser lithotripsy.钬激光碎石术成功治疗布韦雷综合征。
Am Surg. 2005 Oct;71(10):882-5.
7
Gallstone ileus: rare and still controversial.胆石性肠梗阻：罕见且仍存在争议。
ANZ J Surg. 2005 Apr;75(4):234-8. doi: 10.1111/j.1445-2197.2005.03368.x.
8
Duodenal obstruction by gallstones (Bouveret's syndrome): a review of the literature.胆结石所致十二指肠梗阻（布韦雷综合征）：文献综述
Endoscopy. 2005 Jan;37(1):82-7. doi: 10.1055/s-2004-826100.
9
Bouveret's syndrome complicated by distal gallstone ileus after laser lithotropsy using Holmium: YAG laser.钬激光碎石术后并发远端胆石性肠梗阻的布韦雷综合征
BMC Gastroenterol. 2002 Jun 18;2:15. doi: 10.1186/1471-230x-2-15.
10
[Spontaneous biliodigestive fistulae. The clinical considerations, surgical treatment and complications].[自发性胆肠瘘。临床考量、手术治疗及并发症]
G Chir. 2000 Mar;21(3):110-7.

内镜治疗成功治愈胆结石所致十二指肠球部梗阻（布韦雷综合征）。

Duodenal bulb obstruction caused by a gallstone (Bouveret syndrome) successfully treated with endoscopic measures.

作者信息

Hoilat Gilles Jadd, Sostre Vanessa, Hoilat Judie N, Durer Ceren, Durer Seren, Kanagalingam Gowthami, Manocha Divey

机构信息

Department of Medicine, State University of New York Upstate Medical University, Syracuse, New York.

Department of Gastroenterology, State University of New York Upstate Medical University, Syracuse, New York.

出版信息

Proc (Bayl Univ Med Cent). 2020 Jul 23;33(4):630-632. doi: 10.1080/08998280.2020.1792757.

DOI:10.1080/08998280.2020.1792757
PMID:33100550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7549994/
Abstract

Bouveret syndrome is the rarest variant of gallstone ileus, with a high morbidity and mortality rate as well as life-threatening complications. We present a case of an 86-year-old woman who presented with abdominal pain and was diagnosed with acute cholecystitis. After laparoscopic cholecystectomy, her symptoms did not improve. She then underwent endoscopic retrograde cholangiopancreatography and was found to have a stone causing duodenal bulb obstruction. The stone was removed using a snare, and her symptoms improved greatly. This rare case of Bouveret syndrome with no apparent fistula was successfully treated using endoscopic measures.

摘要

布韦雷综合征是胆石性肠梗阻最罕见的一种类型，具有高发病率、高死亡率以及危及生命的并发症。我们报告一例86岁女性患者，该患者因腹痛就诊，被诊断为急性胆囊炎。腹腔镜胆囊切除术后，她的症状并未改善。随后她接受了内镜逆行胰胆管造影术，发现有一枚结石导致十二指肠球部梗阻。使用圈套器取出结石后，她的症状有了很大改善。这例罕见的无明显瘘管的布韦雷综合征患者通过内镜治疗措施获得了成功治疗。