DOI: https://doi.org/10.22141/2306-2436.6.3.2017.123491

Some diagnostic and therapeutic aspects of Bouveret syndrome

G.G. Roschyn, M.I. Tutchenko, N.I. Іskra, D.V. Rudyk

Abstract


Background. The analysis of the diagnosis and treatment of patients with adhesive disease is carried out. Seven out of 188 operated patients had Bouveret syndrome which was diagnosed before the surgery only in one case. The purpose was to determine the possibility of minimally invasive laparoscopic and laparoscopic-assisted interventions in patients with acute intestinal obstruction (AIO) on the background of gallstone ileus. Materials and methods. 188 patients (men and women aged 49 to 89 years) were urgently hospitalized with intestinal obstruction and were treated at the in-patient surgical department N 1 of the Kyiv Municipal Clinical Emergency Hospital during 2006–2016. Results. Treatment outcomes showed that in an urgent situation, which is definitely the presence of AIO, due to the release of concrete in the lumen of the gut, the volume of surgical intervention should be minimal and aimed at eliminating intestinal obstruction — removal of stone by enterotomy. Conclusions. The analysis of diagnostic aspects has shown that it is expedient to include patients with AIO in the protocol for conducting ultrasound examination in order to detect changes in the gallbladder, to assess the nature of its contents and signs of AIO.

Keywords


Bouveret syndrome; acute intestinal obstruction; adhesive obstruction; laparoscopy

References


Artioli G. Gallstone ileus: literature review / Artioli G., Muri M., Praticò F.E. et al. // Acta Biomed. — 2016. — № 3. — Р. 40-44.

Brezean I. Gallstone ileus: analysis of eight cases and review of the literature / Brezean I., Aldoescu S., Catrina E. et al. // Chirurgia (Bucur). — 2010. — № 105(3). — Р. 355-359.

Bonam Ramiet et al. Bouveret’s Syndrome with severe Esophagitis and a Purulent Fistula // ACG Case Rep J. — 2014. — № 1. — Р. 158-160.

Černá M. Coincidence of colonic lymphoma and gallstone ileus — case report / Černá M., Opatrný V., Nosek J. et al. // Rozhl. Chir. — 2016. — № 95(9). — Р. 377-382.

Clavien P.A. et al. Gallstone ileus // Br. J. Surg. — 1990. — № 77. — Р. 737-742.

Englert Z.P. Bouveret syndrome: gallstone ileus of the duodenum / Englert Z.P., Love K., Marilley M.D. et al. // Surg. Laparosc. Endosc. Percutan. Tech. — 2012. — № 22(5). — Р. 301-303.

Nickel F. et al. Bouveret’s syndrome: presentation of two cases with review of the literature and development of surgical treatment strategy // BMS Surg. — 2013. — № 13. — Р. 7.

Nuco-Guzman Carlos M. et al. Gallstone Ileus: One-stage surgery in a patient with intermittent obstraction // World J. Gastrointest. Surg. — 2010. — № 2(5). — Р. 172-176.

Rippoles T. еt al. Gallstone Ileus: increased diagnostic sensitivity by combining plain film and ultrasound // Abdomen Imaging. — 2001. — № 26. — Р. 401-405.

Sahsamanis G. Bowel obstruction and perforation due to a large gallstone. A case report / Sahsamanis G., Maltezos K., Dimas P. et al. // Int. J. Surg. Case Rep. — 2016. — № 26. — Р. 193-196.




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