Endoscopic versus surgical treatment for a rare form of gallstone ileus: Bouveret's syndrome. Two case reports and review of the literature

Michele Marini, Gabor Panyor, Francesca Rubertà, Aldo Maria Marini, Arianna Zefelippo, Ettore Contessini Avesani

Research output: Contribution to journalReview article

Abstract

Background: Bouveret's syndrome is a gastric outlet obstruction due to a gallstone impacted in the duodenal lumen or in the stomach via a bilioenteric fistula. It's the rarest form of gallstone ileus, with few cases reported in medical literature. Typically, this condition affects elderly people and causes high morbidity and mortality rates. Methods: We present a review of the published cases of Bouveret's syndrome between 2006, year of publication of the largest case series, and 2015 with particular regard to the operative management and treatment options. Two demanding cases of Bouveret's syndrome reported in our Hospital are also described. Results: Bouveret's syndrome is a rare clinical condition and data reported in medical literature only derive from single case reports and case series. Therefore no clear management indications have been ruled out and treatment options are still matter of debate. CONCLUSION: Bouveret's syndrome is a rare clinical entity with a challenging operative management. Surgical or endoscopic treatments should be tailored on patient medical conditions and clinical presentation.

Original languageEnglish
Pages (from-to)162-167
Number of pages6
JournalAnnali Italiani di Chirurgia
Volume89
Issue number2
Publication statusPublished - Jan 1 2018

Fingerprint

Ileus
Gallstones
Gastric Outlet Obstruction
Therapeutics
Fistula
Publications
Stomach
Morbidity
Mortality

Keywords

  • Bouveret's Syndrome
  • Cholelithiasis
  • Gallstone Ileus
  • Gastric Outlet Obstruction
  • Intestinal Obstruction

ASJC Scopus subject areas

  • Surgery

Cite this

Endoscopic versus surgical treatment for a rare form of gallstone ileus : Bouveret's syndrome. Two case reports and review of the literature. / Marini, Michele; Panyor, Gabor; Rubertà, Francesca; Marini, Aldo Maria; Zefelippo, Arianna; Avesani, Ettore Contessini.

In: Annali Italiani di Chirurgia, Vol. 89, No. 2, 01.01.2018, p. 162-167.

Research output: Contribution to journalReview article

Marini, Michele ; Panyor, Gabor ; Rubertà, Francesca ; Marini, Aldo Maria ; Zefelippo, Arianna ; Avesani, Ettore Contessini. / Endoscopic versus surgical treatment for a rare form of gallstone ileus : Bouveret's syndrome. Two case reports and review of the literature. In: Annali Italiani di Chirurgia. 2018 ; Vol. 89, No. 2. pp. 162-167.
@article{891f7fef4e124c2aadaffb62ea555fe7,
title = "Endoscopic versus surgical treatment for a rare form of gallstone ileus: Bouveret's syndrome. Two case reports and review of the literature",
abstract = "Background: Bouveret's syndrome is a gastric outlet obstruction due to a gallstone impacted in the duodenal lumen or in the stomach via a bilioenteric fistula. It's the rarest form of gallstone ileus, with few cases reported in medical literature. Typically, this condition affects elderly people and causes high morbidity and mortality rates. Methods: We present a review of the published cases of Bouveret's syndrome between 2006, year of publication of the largest case series, and 2015 with particular regard to the operative management and treatment options. Two demanding cases of Bouveret's syndrome reported in our Hospital are also described. Results: Bouveret's syndrome is a rare clinical condition and data reported in medical literature only derive from single case reports and case series. Therefore no clear management indications have been ruled out and treatment options are still matter of debate. CONCLUSION: Bouveret's syndrome is a rare clinical entity with a challenging operative management. Surgical or endoscopic treatments should be tailored on patient medical conditions and clinical presentation.",
keywords = "Bouveret's Syndrome, Cholelithiasis, Gallstone Ileus, Gastric Outlet Obstruction, Intestinal Obstruction",
author = "Michele Marini and Gabor Panyor and Francesca Rubert{\`a} and Marini, {Aldo Maria} and Arianna Zefelippo and Avesani, {Ettore Contessini}",
year = "2018",
month = "1",
day = "1",
language = "English",
volume = "89",
pages = "162--167",
journal = "Annali Italiani di Chirurgia",
issn = "0003-469X",
publisher = "Edizioni Luigi Pozzi S.r.l.",
number = "2",

}

TY - JOUR

T1 - Endoscopic versus surgical treatment for a rare form of gallstone ileus

T2 - Bouveret's syndrome. Two case reports and review of the literature

AU - Marini, Michele

AU - Panyor, Gabor

AU - Rubertà, Francesca

AU - Marini, Aldo Maria

AU - Zefelippo, Arianna

AU - Avesani, Ettore Contessini

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Bouveret's syndrome is a gastric outlet obstruction due to a gallstone impacted in the duodenal lumen or in the stomach via a bilioenteric fistula. It's the rarest form of gallstone ileus, with few cases reported in medical literature. Typically, this condition affects elderly people and causes high morbidity and mortality rates. Methods: We present a review of the published cases of Bouveret's syndrome between 2006, year of publication of the largest case series, and 2015 with particular regard to the operative management and treatment options. Two demanding cases of Bouveret's syndrome reported in our Hospital are also described. Results: Bouveret's syndrome is a rare clinical condition and data reported in medical literature only derive from single case reports and case series. Therefore no clear management indications have been ruled out and treatment options are still matter of debate. CONCLUSION: Bouveret's syndrome is a rare clinical entity with a challenging operative management. Surgical or endoscopic treatments should be tailored on patient medical conditions and clinical presentation.

AB - Background: Bouveret's syndrome is a gastric outlet obstruction due to a gallstone impacted in the duodenal lumen or in the stomach via a bilioenteric fistula. It's the rarest form of gallstone ileus, with few cases reported in medical literature. Typically, this condition affects elderly people and causes high morbidity and mortality rates. Methods: We present a review of the published cases of Bouveret's syndrome between 2006, year of publication of the largest case series, and 2015 with particular regard to the operative management and treatment options. Two demanding cases of Bouveret's syndrome reported in our Hospital are also described. Results: Bouveret's syndrome is a rare clinical condition and data reported in medical literature only derive from single case reports and case series. Therefore no clear management indications have been ruled out and treatment options are still matter of debate. CONCLUSION: Bouveret's syndrome is a rare clinical entity with a challenging operative management. Surgical or endoscopic treatments should be tailored on patient medical conditions and clinical presentation.

KW - Bouveret's Syndrome

KW - Cholelithiasis

KW - Gallstone Ileus

KW - Gastric Outlet Obstruction

KW - Intestinal Obstruction

UR - http://www.scopus.com/inward/record.url?scp=85048607413&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048607413&partnerID=8YFLogxK

M3 - Review article

AN - SCOPUS:85048607413

VL - 89

SP - 162

EP - 167

JO - Annali Italiani di Chirurgia

JF - Annali Italiani di Chirurgia

SN - 0003-469X

IS - 2

ER -