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| 1 | 胆管十二指肠瘘并发胆石性肠梗阻1例及文献回顾显示文摘胆管十二指肠瘘并发胆石性肠梗阻(gallstone ileus,GI)是GI的一种少见类型,该病例同时出现两处胆石梗阻肠道,临床甚少见.早期诊断和及时恰当的手术治疗有助于降低术后并发症发生率和死亡率.CT有助于早期确诊,腹腔镜辅助手术治疗有利于手术方案的优化和患者的早期恢复.通过对本病例的探讨和文献回顾,以提高对GI的临床诊治认识. | 孙向宇 田春江 赵宏志 | 2016 | 世界华人消化杂志2016，24，9： | 1 |
| 2 | Bouveret's syndrome: a rare cause of gastric outlet obstruction显示文摘To the editor:Bouveret's syndrome is a very uncommon form of gastric outlet obstruction caused by a large gallstone traveling through a cholecystoduodenal fistula into the duodenum.It was first described by Beaussier in 1770.Leon Bouveret,a French physician,for the first time published two cases with the symptoms of upper abdominal pain,fever,and vomiting in elderly patients in 1896.1 It is responsible for less than 1% of gallstone ileus.2 Only 300 cases had been reported in worldwide literature by 2008.3 A 94-year-old male patient presented to our hospital with a 4-day history of nausea,vomiting,and abdominal pain.He had sought prior medical help for the symptoms of this episode at another hospital but refused operation after diagnosis.Physical examination showed no mild epigastric tenderness or palpable masses. | Yu Kui Yang Jianfeng Zhen Jinzhou Zhou Xiqiu | 2014 | Chinese Medical Journal2014，，19： | 1 |
| 3 | Bouveret综合征26例临床分析显示文摘目的探讨Bouveret综合征的病因、发病机制、诊断及治疗方法。方法对1996年以来国内有关Bouveret综合征的文献报道24例及我院收治的2例共26例病例进行综合分析。结果26例患者,男16例,女10例,男女比例1.6:1;年龄40~89岁(平均年龄66.5岁),既往有慢性胆囊炎、胆石症史21例(80.7%)。上腹部疼痛24例(92.3%),恶心呕吐26例(100%),畏寒发热7例(26.9%)。14例行血常规检查,其中11例血象升高(78.6%),20例行腹部平片检查,11例提示胃肠道梗阻(55%),7例行腹部B超检查,2例发现胆囊内积气及胆囊内结石消失(28.6%),10例行腹部CT检查,7例发现异位胆结石(70%),9例行胃镜检查,5例发现十二指肠异位结石(55.6%)。24例行手术治疗(92.3%),1例行胃镜下取石(3.8%),1例胃镜联合腹腔镜治疗(3.8%)。结论Bouveret综合征是一种临床极为少见的疾病,误诊率高,但通过病因、临床特点、腹部B超、腹部平片、腹部CT及胃镜等进行综合分析,可提高诊断率,同时在治疗上应根据患者年龄、身体状况及病情特点进行个体化、科学化的处理,减少并发症和病死率。 | 陆德文 李小平 蔡洪培 陈岳祥 | 2009 | 现代实用医学2009，21，9： | 0 |
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