Post written by Eduardo A. Vega, MD, from St. Elizabeth’s Medical Center, Boston University School of Medicine, Boston, MA, USA.

This article presents 2 successful cases of endoscopic treatment for Bouveret syndrome and cholecystocolonic fistulae leading to large-bowel obstruction.

Bouveret syndrome and cholecystocolonic fistulae, though rare, represent severe adverse events of cholelithiasis. These cases highlight the advantages of endoscopic treatment over traditional surgical approaches, showcasing the potential for less invasive methods to achieve successful outcomes with shorter recovery times.

Other endoscopists can learn about the efficacy and safety of using holmium laser lithotripsy for treating Bouveret syndrome and colonic gallstone ileus. These cases demonstrate the step-by-step process and techniques involved, offering valuable insights into management of these rare but challenging conditions.

Endoscopic treatment, particularly with holmium laser lithotripsy, provides a viable alternative to surgery for management of Bouveret syndrome and colonic gallstone ileus. These cases contribute to the growing body of evidence supporting minimally invasive approaches in the treatment of complex biliary and GI conditions.

Endoscopic view of gallstone impacted on sigmoid colon treated with holmium laser and mechanical lithotripsy (A-C). Extraction of fragments with Roth net (D), cholecystocolonic fistulae (E), and defacement at calculous impaction site (F).

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.