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Z Gastroenterol 2020; 58(04): 352-356
DOI: 10.1055/a-1113-7966
Kasuistik

Bouveret’s Syndrome – Case Series with Therapeutic Implications

Bouveret-Syndrom – Fallserie mit therapeutischen Implikationen
Tobias Kukiolka
1   Gastroenterology, Kantonsspital Münsterlingen, Münsterlingen, Switzerland
,
Jan Borovicka
2   Gastroenterology, Kantonsspital St. Gallen, St. Gallen, Switzerland
,
Stephan Baumeler
2   Gastroenterology, Kantonsspital St. Gallen, St. Gallen, Switzerland
,
Marc Schiesser
3   Surgery, Klinik Hirslanden, Zürich, Switzerland
,
Christoph Gubler
4   Gastroenterology, Universitätsspital Zürich, Zürich, Switzerland
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Abstract

Bouveret’s syndrome is a rare complication resulting from gallstone disease. Both surgical and endoscopical procedures are performed, with the disease to be seen as strictly interdisciplinary. There are no well-established recommendations for this condition. In this paper, we want to describe our experience from 6 cases in 3 Swiss hospitals from 2015 to 2017 with emphasis on the endoscopic technique of electrohydraulic lithotripsy followed by balloon dilatation and propose a treatment algorithm.

Zusammenfassung

Das Bouveret-Syndrom ist eine seltene Komplikation des Gallensteinleidens. Es werden sowohl chirurgische als auch endoskopische Interventionen durchgeführt, wobei die Krankheit streng interdisziplinär zu sehen ist. Etablierte Empfehlungen zum Vorgehen existieren nicht. In diesem Beitrag wollen wir über unsere Erfahrungen aus 6 Fällen in 3 Schweizer Spitälern von 2015 bis 2017 berichten. Wir beschreiben ein endoskopisches Vorgehen, das die elektrohydraulische Lithotripsie mit einer anschliessenden Ballondilatation kombiniert, und schlagen einen Behandlungsalgorithmus vor.

Key words

Bouveret’s syndrome - gallstone ileus - electrohydraulic lithotripsy - balloon dilatation

Schlussfolgerung

Bouveret-Syndrom - Gallensteinileus - elektrohydraulische Lithotripsie - Ballondilatation


Publication History

Received: 29 October 2019

Accepted: 01 February 2020

Article published online:
30 April 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

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