Bouveret's Syndrome: Diagnostic Dilemmas and Therapeutic Strategies - A Comprehensive Educational Approach for Healthcare Professionals
DOI:
https://doi.org/10.12775/JEHS.2024.69.48190Keywords
Bouveret's Syndrome, gallstone ileus, cholecysto-duodenal fistula, Rigler's triadAbstract
Bouveret's syndrome, a rare complication of gallstone disease, poses a significant diagnostic and therapeutic challenge, particularly in elderly individuals with multiple comorbidities. The mortality rate ranges from 12-30%, emphasizing the importance of prompt and accurate diagnosis. Nonspecific symptoms, such as nausea, vomiting, and abdominal pain, contribute to delayed diagnosis. Healthcare professionals, especially those involved in gastroenterology and surgery, require comprehensive education on Bouveret's syndrome. Training should emphasize the diverse diagnostic modalities, including the use of imaging techniques such as X-rays, ultrasound, and MRI. Awareness of the syndrome's rarity and collaboration among specialists from various fields are crucial for effective management. Additionally, educational programs should underscore the need for individualized treatment plans, considering patient parameters such as age, comorbidities, and the inflammatory state of surrounding tissues. While endoscopic procedures exhibit lower success rates, they are often preferred due to the high risk associated with open surgical procedures in elderly patients. Continuous medical education should also highlight the potential link between diabetes and Bouveret's syndrome, emphasizing the importance of recognizing risk factors and ensuring timely medical intervention. In conclusion, enhancing the knowledge base of healthcare professionals through targeted education is essential for improving the diagnosis and management of Bouveret's syndrome, ultimately contributing to better patient outcomes.
References
Turner AR, Kudaravalli P, Al-Musawi JH, Ahmad H. Bouveret Syndrome (Bilioduodenal Fistula). In: StatPearls. Treasure Island (FL): StatPearls Publishing; March 13, 2023.
Caldwell KM, Lee SJ, Leggett PL, Bajwa KS, Mehta SS, Shah SK. Bouveret syndrome: current management strategies. Clin Exp Gastroenterol. 2018;11:69-75. Published 2018 Feb 15. doi:10.2147/CEG.S132069
Singh G, Merali N, Shirol S, Drymousis P, Singh S, Veeramootoo D. A case report and review of the literature of Bouveret syndrome. Ann R Coll Surg Engl. 2020;102(1):e15-e19. doi:10.1308/rcsann.2019.0161
Haddad FG, Mansour W, Deeb L. Bouveret's Syndrome: Literature Review. Cureus. 2018;10(3):e2299. Published 2018 Mar 10. doi:10.7759/cureus.2299
Bhandari TR, Wong JLH, Ahmad J, Akbari K, Menon V. Bouveret's syndrome: An old diagnosis. A modern multimodality approach (endoscopic and robotic surgical) of gastric outlet obstruction: Report of two cases. Int J Surg Case Rep. Published online December 8, 2023. doi:10.1016/j.ijscr.2023.109134
Malik S, Khan H, Bapaye J, Mushtaq A. Bouveret’s Syndrome: A Case Report and Review of the Literature. Advances in Clinical Medical Research and Healthcare Delivery. 2023;3(4). doi: https://doi.org/10.53785/2769-2779.1181
Mavroeidis VK, Matthioudakis DI, Economou NK, Karanikas ID. Bouveret syndrome-the rarest variant of gallstone ileus: a case report and literature review. Case Rep Surg. 2013;2013:839370. doi:10.1155/2013/839370
Jin L, Naidu K. Bouveret syndrome-a rare form of gastric outlet obstruction. J Surg Case Rep. 2021;2021(5):rjab183. Published 2021 May 19. doi:10.1093/jscr/rjab183
Qasaimeh GR, Bakkar S, Jadallah K. Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature. Int Surg. 2014;99(6):819-823. doi:10.9738/INTSURG-D-14-00087.1
Nickel F, Müller-Eschner MM, Chu J, von Tengg-Kobligk H, Müller-Stich BP. Bouveret's syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy. BMC Surg. 2013;13:33. Published 2013 Sep 4. doi:10.1186/1471-2482-13-33
Wang F, Du ZQ, Chen YL, Chen TM, Wang Y, Zhou XR. Bouveret syndrome: A case report. World J Clin Cases. 2019;7(23):4144-4149. doi:10.12998/wjcc.v7.i23.4144
Yılmaz EM, Cartı EB, Kandemir A. Rare cause of duodenal obstruction: Bouveret syndrome. Turk J Surg. Published online August 28, 2018. doi:10.5152/turkjsurg.2017.3794
Allen R, Johnston CJC, Thomasset S, Ravindran R, Wigmore SJ, Church NI. Endoscopic management of Bouveret syndrome with electrohydraulic lithotripsy. VideoGIE. 2023;8(11):464-468. Published 2023 Oct 5. doi:10.1016/j.vgie.2023.07.009
Monteiro EL, Schmid J, Mischinger HJ, Sucher R, Kornprat P. Gallstone as a cause of intestinal obstruction (Bouveret syndrome). J Surg Case Rep. 2023;2023(10):rjad582. Published 2023 Oct 31. doi:10.1093/jscr/rjad582
Amri F, Belkhayat C, Chahi K, et al. Upper gastrointestinal bleeding revealing a Bouveret syndrome: A case report. Radiol Case Rep. 2023;18(12):4549-4552. Published 2023 Oct 17. doi:10.1016/j.radcr.2023.09.052
Rodrigues ILM. Bouveret syndrome and its imaging diagnosis. Radiol Bras. 2018;51(4):276-277. doi:10.1590/0100-3984.2016.0220
Baharith H, Khan K. Bouveret syndrome: when there are no options. Can J Gastroenterol Hepatol. 2015;29(1):17-18. doi:10.1155/2015/215643
Osman K, Maselli D, Kendi AT, Larson M. Bouveret's syndrome and cholecystogastric fistula: a case-report and review of the literature. Clin J Gastroenterol. 2020;13(4):527-531. doi:10.1007/s12328-020-01114-7
Yu YB, Song Y, Xu JB, Qi FZ. Bouveret's syndrome: A rare presentation of gastric outlet obstruction. Exp Ther Med. 2019;17(3):1813-1816. doi:10.3892/etm.2019.7150
Naidoo SF, Shariff H, Smith L, Taye M, Chowdary SF, Manocha D. S1968 Bouveret Syndrome: An Uncommon Cause of Small Bowel Obstruction in the Aging Population. Official journal of the American College of Gastroenterology | ACG. 2023;118(10S):S1450. doi:https://doi.org/10.14309/01.ajg.0000957512.68635.98
Ploneda-Valencia CF, Gallo-Morales M, Rinchon C, et al. Gallstone ileus: An overview of the literature. El íleo biliar: una revisión de la literatura médica. Rev Gastroenterol Mex. 2017;82(3):248-254. doi:10.1016/j.rgmx.2016.07.006
Yang D, Wang Z, Duan ZJ, Jin S. Laparoscopic treatment of an upper gastrointestinal obstruction due to Bouveret's syndrome. World J Gastroenterol. 2013;19(40):6943-6946. doi:10.3748/wjg.v19.i40.6943
Lopes CV, Lima FK, Hartmann AA. Bouveret syndrome and pancreatic acinar cell carcinoma. Endoscopy. 2017;49(S 01):E62-E63. doi:10.1055/s-0042-123499
Al-Shoha M, Raghavapuram S, George N, Girotra M, Tharian B. Use of Biliary Stents in the Surgical Management of Bouveret Syndrome After Endoscopic Failure: 1236. Official journal of the American College of Gastroenterology | ACG. 2016;111:S545.
1.Parsa SS, Liu J, Tahereh Ghaziani, J. Augusto Bastidas. Duodenal obstruction due to a gallstone (Bouveret Syndrome): Case report and literature review. Gastroenterology Insights. 2017;8(1). doi:https://doi.org/10.4081/gi.2017.6860
Reinhardt SW, Jin LX, Pitt SC, Earl TM, Chapman WC, Doyle MB. Bouveret's syndrome complicated by classic gallstone ileus: progression of disease or iatrogenic?. J Gastrointest Surg. 2013;17(11):2020-2024. doi:10.1007/s11605-013-2301-7
Tadong S., Makiewicz M., Potocka M.: Biliary obstruction of the small intestine. Practical Gastroenterology 2018, 1 (38), 69-72
Smith E, Zhao S, El Boghdady M, Sabato-Ceraldi S. Bouveret syndrome: A challenging case of impacted gallstone within the fourth part of the duodenum. Int J Surg Case Rep. 2022;94:107084. doi:10.1016/j.ijscr.2022.107084
Park S, Balasooriya J, Ncube T. A Rare Case of Gallstone Ileus: Bouveret Syndrome Presenting with Concurrent Gallstone Coleus. Case Rep Surg. 2020;2020:8844199. Published 2020 Nov 7. doi:10.1155/2020/8844199
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Copyright (c) 2024 Paweł Dąda, Paweł Pawlik, Przemysław Zaroda, Patrycja Niewinna, Michał Żuchowski, Dominika Mańdziuk, Klaudia Kołodziej, Wojciech Kołodziej, Jakub Wawrzkowicz, Monika Korga
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