Bozhidar Hristov, Daniel Doykov, Desislav Stanchev, Emiliya Nacheva-Georgieva, Krasimir Kraev, Petar Uchikov, Gancho Kostov, Siyana Valova, Eduard Tilkiyan, Katya Doykova, Mladen Doykov
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Combined laser and mechanical lithotripsy for endoscopic management of Bouveret's syndrome: A case report.
Bouveret's syndrome (BS) represents an exceedingly rare clinical entity characterized by gastric outlet obstruction induced by a gallstone passing through a cholecystoduodenal, cholecystogastric or choledochoduodenal fistula and impacting in the duodenum or pylorus. Endoscopy is the preferred first-line therapy. It has a favorable safety profile, but requires high level of expertise to achieve stone clearance.
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