Endoscopic interventions in diagnosis and treatment of Mirizzi syndrome

Abstract

It is shown that endoscopic transpapillary methods of diagnosis and treatment of Mirizzi syndrome provides adequate decompression and sanitation of the bile ducts in most cases and significantly reduces number of open surgical procedures.

Endoscopic Nasogallbladder Drainage Combined with Laparoscopic Surgery for Type I Mirizzi Syndrome with Acute Cholecystitis: A Case Series Report

“…It has been reported that patients with Mirizzi syndrome have a high rate of conversion from LC to open cholecystectomy (1). Recently, ERCP has become the first-line method for the diagnosis of Mirizzi syndrome, with accuracy as high as 90% (6,7). ERCP is helpful for the Csendes classification, as the use of this technique can more clearly identify bile duct compression, as well as the presence of a bile duct gallbladder fistula or a gallbladder intestinal fistula.…”

Our Mirizzi Syndrome Experience in Endoscopic Retrograde Cholangiography

“…In the presence of periductal inflammation, MS can be mistakenly evaluated as gallbladder cancer, cholangiocarcinoma, or metastasis by ultrasonography or computed tomography [8]. The magnetic retrograde cholangiopancreatography procedure (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) can confirm the diagnosis in only half of the cases [9][10].…”