| dc.creator | Iñíguez,Armando | |
| dc.creator | Butte,Jean Michel | |
| dc.creator | Zúñiga,José Miguel | |
| dc.creator | Crovari,Fernando | |
| dc.creator | Llanos,Osvaldo | |
| dc.date | 2008-02-01 | |
| dc.date.accessioned | 2017-03-07T16:01:56Z | |
| dc.date.available | 2017-03-07T16:01:56Z | |
| dc.identifier | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000200004 | |
| dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/394921 | |
| dc.description | Bouveret syndrome is a duodenal obstruction caused by a biliary stone. Aim: To report patients with Bouveret syndrome. Material and Methods: Retrospective review of medical records of patients with Bouveret syndrome treated between 1976 and 2006. Results: We report three women and one man with a mean age of 62.5 years. None had a previous diagnosis of cholelithiasis. AH presented with colicky pain in the right upper quadrant and vomiting, suggesting gastric retention. The diagnosis was suspected after a barium meal in two patients and with a CT scan on the other two. The endoscopical extraction or fragmentation of stones was attempted in three patients but was successful only in one. Three patients were operated and a stone impacted in the first portion of the duodenum was identified, along with a cholecystoduodenal fistula. A duodenostomy and stone extraction was performed. One patient was subjected to a cholecystectomy fistula repair and gastrojejunoanastomosis. No patient died and all were discharged within 8 to 12 days after surgery. Conclusions: Bouveret syndrome is an uncommon complication of cholelithiasis. Endoscopy can be diagnostic and therapeutic. Surgery is the other therapeutic option | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.source | Revista médica de Chile v.136 n.2 2008 | |
| dc.subject | Duodenostomy | |
| dc.subject | Duodenal obstruction | |
| dc.subject | Gallstones | |
| dc.title | Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos | |
| dc.type | Artículos de revistas | |
