TITLE

Characterization of Bouveret's Syndrome: A Comprehensive Review of 128 Cases

AUTHOR(S)
Cappell, Mitchell S.; Davis, Michael
PUB. DATE
September 2006
SOURCE
American Journal of Gastroenterology;Sep2006, Vol. 101 Issue 9, p2139
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
AIM: The aim of the study was to characterize the clinical presentation, evaluation, and therapy of Bouveret's syndrome, by comprehensively reviewing all the identified previously reported cases, to facilitate early diagnosis and thereby to improve the prognosis. METHODS: Relevant articles were identified by MEDLINE computerized searches, by consultation with all available reference books, and by review of the first author's teaching files. A new case in which the diagnosis of Bouveret's syndrome was missed at esophagogastroduodenoscopy (EGD)—despite endoscopic findings of gastric outlet obstruction caused by a hard, nonfleshy, and convex pyloric mass—prompted this review. RESULTS: Review of 128 reported cases identified syndromic characteristics. Patients on average were 74.1 ± 11.1 (SD) yr old. The female-to-male sex ratio was 1.86. Prominent symptoms were nausea and vomiting in 87%, abdominal pain in 71%, hematemesis in 15%, recent weight loss in 14%, and anorexia in 13% of patients. Prominent signs were abdominal tenderness in 44%, signs of dehydration in 31%, and abdominal distention in 26% of patients. Endoscopy revealed gastroduodenal obstruction in nearly all cases, but identified the obstructing stone in only 69%. Abdominal ultrasound or computerized tomography was diagnostic in about 60% of cases. CONCLUSIONS: The following endoscopic findings are suggestive of Bouveret's syndrome: a dilated stomach containing old digested food from gastrointestinal obstruction together with a hard and nonfleshy mass at the obstruction. These endoscopic findings, in the setting of the currently reported characteristic epidemiologic and clinical findings, should strongly suggest this syndrome. Abdominal ultrasound or computerized tomography is recommended to confirm and extend the endoscopic diagnosis.
ACCESSION #
22208129

 

Related Articles

  • UNDER EVALUATED ROTAVIRUS INFECTION IN ROMANIA, PROSPECTIVE CLINICAL AND EPIDEMIOLOGICAL STUDY. THERAPEUTIC AND ECONOMIC IMPLICATIONS. BÎRLUŢIU, VICTORIA; RAREŞ MIRCEA BÎRLUŢIU // Acta Medica Transilvanica;mar2014, Vol. 19 Issue 1, p154 

    We aimed at conducting a prospective and observational study of cases with rotavirus gastroenteritis admitted between 1 January 2011-31 December 2012 at the Infectious Diseases and Pediatric Departments from Sibiu, the patients being aged 0-16 years old. We followed the seasonality, the clinical...

  • Extrarenal potassium homeostasis. Brown, Robert S. // Kidney International;Jul1986, Vol. 30 Issue 1, p116 

    Discusses the case of a 35-year-old woman diagnosed with severe hypokalemia caused by the concurrence of a low potassium intake due to anorexia nervosa and an increased fecal potassium loss due to chronic laxative abuse. Confirmation of renal potassium conservation with urinary electrolyte...

  • Bizarre Bezoar: Case Report of a Gastric Dehydrated-Fruit Bezoar in au Infant. Sampson, Avery; Hua Liu; Nowicki, Michael; Bishop, Phyllis // Clinical Pediatrics;Oct2008, Vol. 47 Issue 8, p829 

    The article discusses the risk of bezoars to the infants. The author claims that bezoars arise from ingestion of indigestible material, in which common types of bezoars are phytobezoars, trichobezoars, and pharmacobezoars. It says that bezoars are defined as accumulation of foreign ingested...

  • Polydipsia in Chronic Psychiatric Patients. Delva, Nicholas J.; Crammer, John L. // British Journal of Psychiatry;Feb88, Vol. 152, p242 

    Eight chronic psychiatric in-patients with polydipsia, and polyuria, up to 22 litres per 24 hours, were studied by frequent timed body weight and urine volume measurements, and episodic plasma electrolyte estimations. During the day they all showed irregular water retention, with hyponatremia in...

  • Ask Ishi.  // Prevention India;Feb2011, p5 

    The article discusses pros and cons of very low-calorie diet (VLCD) for weight management. It states that realistic expectations and good exercise regimen is essential to derive best results from VLCDs. It also warns that success of such low-calorie diet is short-lived as body looses most of...

  • Morpho-Clinic Study of a Guttural Pouch Squamous Carcinoma. Scurtu, Iuliu; Giurgiu, Gavril; Mircean, Mircea; Livitchi, Laura; Niculae, Mihaela; Taulescu, Marian; Macri, Adrian; Baba, Alecsandru Ioan // Bulletin of the University of Agricultural Sciences & Veterinary;2009, Vol. 66 Issue 2, p61 

    The squamous cell carcinoma is a very rare tumor in guttural pouch localization. Its development and growth are associated with the compression to the nasopharynx dorsal wall, which leads to dysphagia and subsequently exaggerate weight loss of the patient. Also, dysphagia leads to...

  • Go With the Flow.  // Bicycling Australia;Jan/Feb2009, Issue 155, p92 

    The article discusses the catastrophic effects of dehydration. It reveals that there is a five percent drop in performance if a person losses one percent of its bodyweight through dehydration and if the bodyweight loss reaches four to five percent, performance drops 20 to 30% and a fluid loss of...

  • Reference chart for relative weight change to detect hypernatraemic dehydration. Van Dommelen, Paula; Van Wouwe, Jacobus P.; Breuning-Boers, Jacqueline M.; van Buuren, Stef; Verkerk, Paul H. // Archives of Disease in Childhood;Jun2007, Vol. 92 Issue 6, p490 

    Objective: The validity of the rule of thumb that infants may have a weight loss of 10% in the first days after birth is unknown. We assessed the validity of this and other rules to detect breast-fed infants with hypernatraemic dehydration. Design: A reference chart for relative weight change...

  • A Young Man from Peru with Fever and Abdominal Pain. Mackowiak, Philip A. // Clinical Infectious Diseases;3/15/2005, Vol. 40 Issue 6, p842 

    The article presents a case report of a healthy, 28-year-old Peruvian man presented to the emergency department with a 1-day history of fever and chills and a 2-month history of anorexia and nausea, weight loss of 4.5 kg, and progressively worsening pain in the right upper quadrant and...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics