A novel endoscopic retrograde cholangiopancreatography technique to reduce stone size in type IV Mirizzi syndrome: avoiding cholangiojejunostomy  

作　　者：Tian-Ya Li Zi-Xian Chen Yu-Dong Wang Ying Liu Jin-Duo Zhang Ping Yue Wen-Bo Meng 

机构地区：[1]The First Clinical Medical School of Lanzhou University,Lanzhou,Gansu 730000,China [2]Department of Radiology,The First Hospital of Lanzhou University,Lanzhou,Gansu 730000,China [3]Foreign Languages Department of Lanzhou University,Lanzhou,Gansu 730000,China [4]Department of Special Minimally Invasive Surgery,The First Hospital of Lanzhou University,Lanzhou,Gansu 730000,China

出　　处：《Chinese Medical Journal》2021年第8期1004-1005,共2页中华医学杂志（英文版）

基　　金：the grant from Bethune Charitable Foundation(No.HZB-20181119-34).

摘　　要：To the Editor:Mirizzi syndrome(MS)is a rare type of cholelithiasis with an incidence of 0.1%in all gallstone.[1]cases.Its clinical manifestations and imaging features can sometimes be diffcult to distinguish from those of choledocholithiasis and biliary tumors.s.The traditional treatment for MS is usually surgery,including cholecys-tectomy,exploration of common bile.duct plus T-tube drainage,and cholangiojejunostomy.[2] There have even been reports of endoscopic therapies for MS in recent years,but it is technically difficult and non-feasible in cases where the stones get stuck in the Hartmann pouch.[3]Here we report a case where the MS was downstaged via endoscopic modalities to avoid cholangiojejunostomy.

关 键 词：ENDOSCOPIC MIRIZZI CLINICAL 

分 类 号：R657.4[医药卫生—外科学]