Bouveret syndrome: current management strategies

Kelly M Caldwell,1 Seeyuen J Lee,1 Phillip L Leggett,1 Kulvinder S Bajwa,1 Sheilendra S Mehta,1 Shinil K Shah1,2 1Department of Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA; 2Michael E. Debakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A&M University, College Station, TX, USA Abstract: Bouveret syndrome is a rare complication of cholelithiasis that usually presents with signs and symptoms of gastric outlet obstruction. Given the relative rarity of this condition, there are no standardized guidelines for the management of this condition. In this paper, we review the diagnosis and management options (endoscopic, laparoscopic, and open approaches) of patients with Bouveret syndrome, including a report of one case to illustrate some of the endoscopic and surgical principles of management. Keywords: Bouveret syndrome, gallstone ileus, obstruction, endoscopy, surger