What is bouveret Hoffmann syndrome?
Bouveret syndrome is a rare form of gallstone ileus secondary to an acquired fistula between the gallbladder and either the duodenum or stomach. Through the fistula, a gallstone may enter the enteric system and cause a gastric outlet obstruction.
What causes gastric outlet obstruction?
Gastric outlet obstruction (GOO) is a result of any disease process that causes a mechanical impediment to gastric emptying. It can be caused by mechanical causes as well as motility disorders and typically is associated with abdominal pain, postprandial vomiting, early satiety, and weight loss.
What is gastric outlet syndrome?
Gastric outlet obstruction (GOO) is a clinical syndrome characterized by epigastric abdominal pain and postprandial vomiting due to mechanical obstruction [1].
What is Cholecystoduodenal fistula?
Cholecystoduodenal fistula is a complication of gallstones that causes bowel obstruction, cholangitis, weight loss, and other nonspecific symptomatology. Although it is rare, this fistula should be contemplated in elderly patients and in cases of porcelain gallbladder with multiple adhesions.
What is PSVT in cardiology?
Paroxysmal supraventricular tachycardia (PSVT) is episodes of rapid heart rate that start in a part of the heart above the ventricles. “Paroxysmal” means from time to time.
Can gallstones cause dyspepsia?
When gallstones form, duodenal reflux may be an associated factor that produces dysfunction and destruction of oxyntic cells. These changes are likely to cause hyposecretion, and the presence of bile and pancreatic juices in the stomach may cause the flatulent dyspepsia.
Is gastric outlet obstruction life threatening?
The major goal of therapy is to improve symptoms and restore tolerance of an oral diet. The short-term prognosis of malignant gastric outlet obstruction is poor, with a median survival of 3 to 4 months, as these patients often have unresectable disease.
How do you know if you have a gastric outlet obstruction?
Nausea and vomiting are the cardinal symptoms of gastric outlet obstruction (GOO). Vomiting usually is described as nonbilious, and it characteristically contains undigested food particles. In the early stages of obstruction, vomiting may be intermittent and usually occurs within 1 hour of a meal.
What is biliary type pain?
Biliary colic is a dull pain in the middle to upper right area of the abdomen. It occurs when a gallstone blocks the bile duct, the tube that normally drains bile from the gallbladder to the small intestine. The pain goes away if the stone passes into the small intestine and unblocks the duct.
What is Courvoisier’s law?
Courvoisier’s law (known as Courvoisier’s sign or Courvoisier–Terrier’s sign, or Courvoisier syndrome) states that a painless palpably enlarged gallbladder accompanied with mild jaundice is unlikely to be caused by gallstones.
Is PSVT a serious heart condition?
PSVT is generally not life threatening. If other heart disorders are present, it can lead to congestive heart failure or angina.
What is the best treatment for PSVT?
Catheter ablation: This outpatient procedure is used to treat or cure many types of heart arrhythmia, including PSVT. Catheter ablation is a mature technique known to be safe and effective. Therefore, it is considered a first-line therapy for PSVT.
Which foods cause gallstones?
Because cholesterol appears to play a role in the formation of gallstones, it’s advisable to avoid eating too many foods with a high saturated fat content.
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Diet
- meat pies.
- sausages and fatty cuts of meat.
- butter, ghee and lard.
- cream.
- hard cheeses.
- cakes and biscuits.
- food containing coconut or palm oil.
Do gallstones make you tired?
Narrowed bile ducts from scar tissue can keep the bile from flowing out of your liver and gallbladder into the small intestine. That can make you hurt on the right side of your abdomen where the organs are. You also might be itchy or tired, have a lack appetite, and have jaundice, night sweats, or a fever.
What foods are good for bowel obstruction?
Starchy Foods
- Mashed or boiled potatoes, or instant mashed potato.
- Mash the inside of a jacket potato with butter and soft filling (no skin)
- Tinned spaghetti or ravioli.
- Pasta with a smooth creamy sauce.
- White rice with plenty of sauce.
What is the treatment for gastric outlet obstruction?
Treatment of GOO depends on the underlying cause: Proton pump inhibitors, H. pylori eradication, endoscopic treatments including balloon dilatation or the placement of self-expandable stents, or surgery. Core tip: The causes of gastric outlet obstruction are generally divided into benign and malignant.
How common is gastric outlet obstruction?
The incidence of GOO has been reported to be less than 5% in patients with PUD, which is the leading benign cause of the problem. Five percent to 8% of ulcer-related complications result in an estimated 2000 operations per year in the United States.
What are the common signs and symptoms of biliary disease?
Symptoms of possible biliary disease
- Jaundice (yellowing of the skin and whites of the eyes)
- Abdominal pain, especially in the upper right side of the abdomen under the rib cage.
- Nausea or vomiting.
- Loss of appetite, which may result in weight loss.
- Fatigue.
- Fever or chills.
- Itching.
- Light brown urine.
Where do you feel bile duct pain?
Biliary pain is typically characterized by its location in the right upper quadrant or epigastrium and may radiate around to the right subscapular area or midback or occasionally to the right shoulder. Sometimes, the pain may be felt in the middle lower chest or even in the left abdomen.
What blood tests show gallstones?
Liver function tests (LFTs): Although these tests are not done specifically for gallstone disease, a simple blood test looking at the enzyme levels in the liver can show inflammation in the gallbladder caused by gallstones.
Can you feel gallstones with your fingers?
To do this, your doctor will place their fingers on the upper-right part of your stomach as you breathe in. If you experience pain, this is a sign of an inflamed gallbladder that needs treatment. Your doctor may also order blood tests to check for normal liver function or infection.
Can PSVT be cured?
In severe cases, PSVT can lead to loss of consciousness, and it can even cause sudden cardiac arrest. If you have PSVT, see your provider regularly so they can monitor your heart health. In almost all circumstances, PSVT can be cured with catheter ablation.
Is PSVT curable?
Over time, PSVT can weaken your heart muscle. In severe cases, PSVT can lead to loss of consciousness, and it can even cause sudden cardiac arrest. If you have PSVT, see your provider regularly so they can monitor your heart health. In almost all circumstances, PSVT can be cured with catheter ablation.
What fruit is good for gallstones?
Foods high in vitamin C include capsicum, cabbage, Brussels sprouts, cauliflower, broccoli, green leafy vegetables, tomatoes, citrus fruits, pawpaw, kiwi fruit, strawberries and pineapple.
Are bananas good for gallbladder?
Yes, you can eat bananas with gallstones as they are very low in fat and contain vitamins C and B6 and magnesium, which are all good for your gallbladder.