{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:55:53Z","timestamp":1790888153726,"version":"4.1.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Bouveret\u2019s syndrome is a rare complication that occurs most commonly in elderly patients with multiple comorbidities. It is secondary to an impacted gallstone causing gastric outlet obstruction from a cholecystoduodenal fistula, and there is no defined standardized management in current literature. A 92-year-old woman presents to our tertiary community hospital with abdominal discomfort concerning for bowel obstruction. Computed tomography revealed pneumobilia with a cholecystoduodenal fistula and a large gallstone in the proximal duodenum causing gastric outlet obstruction. The impacted gallstone failed endoscopic extraction with electrohydraulic lithotripsy, and patient subsequently developed distal gallstone ileus requiring exploratory laparotomy and enterolithotomy. This case report examines the need for early coordinated endoscopic and surgical management of a patient with Bouveret\u2019s syndrome complicated by gallstone ileus as it is associated with high morbidity and mortality rates.<\/jats:p>","DOI":"10.1093\/jscr\/rjab464","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T19:26:04Z","timestamp":1633029964000},"source":"Crossref","is-referenced-by-count":7,"title":["Endoscopic and surgical management of Bouveret\u2019s syndrome complicated by gallstone ileus"],"prefix":"10.1093","volume":"2021","author":[{"given":"Jaya Sai","family":"Varre","sequence":"first","affiliation":[{"name":"Department of General Surgery, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2467-3026","authenticated-orcid":false,"given":"Jin Ling","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hopmann","sequence":"additional","affiliation":[{"name":"Department of General Surgery, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Department of General Surgery, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA"},{"name":"Department of Medical Education, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghuram","family":"Reddy","sequence":"additional","affiliation":[{"name":"Ohio Gastroenterology Group, Inc., OhioHealth Riverside Methodist Hospital, 3400 Olentangy River Road, Columbus, OH 43202, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"2021103110030531400_ref1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.5009\/gnl.2012.6.2.172","article-title":"Epidemiology of gallbladder disease: cholelithiasis and cancer","volume":"6","author":"Stinton","year":"2012","journal-title":"Gut Liver"},{"key":"2021103110030531400_ref2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.2147\/CEG.S132069","article-title":"Bouveret syndrome: current management strategies","volume":"11","author":"Caldwell","year":"2018","journal-title":"Clin Exp Gastroenterol"},{"key":"2021103110030531400_ref3","first-page":"14","article-title":"Bouveret's syndrome: a case report","volume":"2","author":"Warren","year":"2008","journal-title":"J Radiol Case 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