Roux-en-Y duodenojejunostomy in the treatment of Bouveret syndrome

Bouveret syndrome is a rare complication of cholelithiasis occurring when a gallstone passes through a cholecystoduodenal or choledochoduodenal fistula and lodges in the pylorus or proximal duodenum causing a gastric outlet obstruction. The case of a 70-year-old male who developed Bouveret syndrome...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 102; no. 9; p. 963
Main Authors Erlandson, Michael D, Kim, Anthony W, Richter, 3rd, Harry M, Myers, Jonathan A
Format Journal Article
LanguageEnglish
Published United States 01.09.2009
Subjects
Aged
Anastomosis, Roux-en-Y - methods
Cholelithiasis - complications
Duodenostomy - methods
Gastric Outlet Obstruction - diagnosis
Gastric Outlet Obstruction - etiology
Gastric Outlet Obstruction - surgery
Humans
Jejunostomy - methods
Male
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Summary:Bouveret syndrome is a rare complication of cholelithiasis occurring when a gallstone passes through a cholecystoduodenal or choledochoduodenal fistula and lodges in the pylorus or proximal duodenum causing a gastric outlet obstruction. The case of a 70-year-old male who developed Bouveret syndrome is presented, and the management of this presentation of gallstone ileus by Roux-en-Y duodenojejunostomy is discussed in detail.
ISSN:1541-8243
DOI:10.1097/SMJ.0b013e3181b17dde