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Title of the item:

Endoscopic treatment of Bouveret's syndrome in an extremely elderly patient with Holmium: YAG laser

Title :
Endoscopic treatment of Bouveret's syndrome in an extremely elderly patient with Holmium: YAG laser
Authors :
Kao-Chi Chang
Wei-Ming Chen
Kuo-Liang Wei
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Subject Terms :
Medicine
Source :
Annals of Saudi Medicine, Vol 36, Iss 6, Pp 436-439 (2016)
Publisher :
King Faisal Specialist Hospital and Research Centre, 2016.
Publication Year :
2016
Collection :
LCC:Medicine
Document Type :
article
File Description :
electronic resource
Language :
English
ISSN :
0256-4947
0975-4466
Relation :
https://doaj.org/toc/0256-4947; https://doaj.org/toc/0975-4466
DOI :
10.5144/0256-4947.2016.436
Access URL :
https://doaj.org/article/c41b3a51ab0340fbab1a6daf67df769b
Accession Number :
edsdoj.41b3a51ab0340fbab1a6daf67df769b
Academic Journal
Bouveret's syndrome is a rare presentation of duodenal obstruction or gastric outlet obstruction caused by a large gallstone migrating through a cholecystoduodenal or choledochoduodenal fistula. Most patients are elderly and often have underlying comorbidities, complicating surgery. Endoscopic therapy should be used as first-line treatment for these patients who are not good surgical candidates. We report a case of a 98-year-old Chinese female who presented with vomiting for three days. Esophagogastroduodenoscopy and computed tomography confirmed the diagnosis of Bouveret's syndrome. The patient successfully underwent endoscopic lithotripsy with the Holmium: Yttrium–Aluminum–Garnet (Ho: YAG) laser. Ho: YAG laser lithotripsy has been used to treat Bouveret's syndrome in four case reports. It can be recommended in patients with Bouveret's syndrome who are poor candidates for surgery. SIMILAR CASES PUBLISHED: 4

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