Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease
المؤلفون المشاركون
Clemente, Gennaro
Tringali, Andrea
Panettieri, Elena
Murazio, Marino
Nuzzo, Gennaro
Giuliante, Felice
De Rose, Agostino Maria
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-12
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Mirizzi syndrome is a condition difficult to diagnose and treat, representing a particular “challenge” for the biliary surgeon.
The disease can mimic cancer of the gallbladder, causing considerable diagnostic difficulties.
Furthermore, it increases the risk of intraoperative biliary injury during cholecystectomy.
The aim of this study is to point out some particular aspects of diagnosis and treatment of this condition.
Methods.
The clinical records of patients with Mirizzi syndrome, treated in the last five years, were reviewed.
Clinical data, cholangiograms, preoperative diagnosis, operative procedures, and early and late results were examined.
Results.
Eighteen consecutive patients were treated in the last five years.
Presenting symptoms were jaundice, pain, and cholangitis.
Preoperative diagnosis of Mirizzi syndrome was achieved in 11 patients, while 6 had a diagnosis of gallbladder cancer and 1 of Klatskin tumor.
Seventeen patients underwent surgery, including cholecystectomy in 8 cases, bile duct repair over T-tube in 3 cases, and hepaticojejunostomy in 4 cases.
Two cases (11.1%) of gallbladder cancer associated with the Mirizzi syndrome were incidentally found: a patient underwent right hepatectomy and another patient was unresectable.
The overall morbidity rate was 16.6%.
There was no postoperative mortality.
An ERCP with stent insertion was required in three cases after surgery.
Sixteen patients were asymptomatic at a mean distance of 24 months (range: 6-48) after surgery.
Conclusions.
Mirizzi syndrome requires being treated by an experienced biliary surgeon after a careful assessment of the local situation and anatomy.
The preoperative placement of a stent via ERCP can simplify the surgical procedure.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Clemente, Gennaro& Tringali, Andrea& De Rose, Agostino Maria& Panettieri, Elena& Murazio, Marino& Nuzzo, Gennaro…[et al.]. 2018. Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease. Canadian Journal of Gastroenterology and Hepatology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1131012
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Clemente, Gennaro…[et al.]. Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease. Canadian Journal of Gastroenterology and Hepatology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1131012
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Clemente, Gennaro& Tringali, Andrea& De Rose, Agostino Maria& Panettieri, Elena& Murazio, Marino& Nuzzo, Gennaro…[et al.]. Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease. Canadian Journal of Gastroenterology and Hepatology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1131012
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1131012
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر