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Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula:A new variant of “Bouveret’s syndrome”

查看全文 作　　者：Dimitry [1]Arioli;Ivo [1]Venturini;Michele [2]Masetti;Elisa [1]Romagnoli;Antonella [3]Scarcelli;Pietro [1]Ballesini;Athos [1]Borghi;Alessandro [4,5]Barberini;Vincenzo [4,5]Spina;Mario De [4,5]Santis;Fabrizio Di [2]Benedetto;Giorgio Enrico [2]Gerunda;Maria Luisa [1]Zeneroli 高影响力作者 机构地区：[1]Medicina Interna Ⅱ, Department of Medicine and Medical Specialties, Azienda Ospedaliera-Policlinico, Università di Modena e Reggio Emilia, Modena 41100, Italy;[2]Liver and Multivisceral Transplant Center, Azienda Ospedaliera-Policlinico, Università di Modena e Reggio Emilia, Modena 41100, Italy;[3]Gastrointestinal Unit, Department of Medicine and Medical Specialties, Azienda Ospedaliera-Policlinico, Università di Modena e Reggio Emilia, Modena 41100, Italy;[4]Department of Radiology and Liver and Multivisceral Transplant Center;[5]Azienda Ospedaliera-Policlinico, Università di Modena e Reggio Emilia, Modena 41100, Italy高影响力机构 出　　处：《World Journal of Gastroenterology》索引2008年第14卷第1期,共4页高影响力期刊 摘　　要：Bouveret's syndrome, defined as gastric outlet obstruction due to a large gallstone, is still one of the most dramatic biliary gallstone complications. Although new radiological and endoscopic techniques have made pre-surgical diagnosis possible in most cases and the death rate has dropped dramatically, 'one-stage surgery' (biliary surgery carried out at the same time as the removal of the gut obstruction) should be still considered as the gold standard for the treatment of gallstone ileus.In this case, partial gastric outlet obstruction resulted in an atypical and insidious clinical presentation that allowed us to perform the conventional one-stage laparatomic procedure that completely solved the problem, thus avoiding any further complications. 关 键 词：胆结石 胃排空障碍 外科学 胆囊-胃瘘
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