This protocol addresses Mirizzi syndrome in two closely related situations: patients who present with acute cholangitis, and patients who are medically unfit for surgical intervention. In both cases, the priority shifts away from definitive surgery toward prompt biliary decompression as a stabilising, temporary measure.
An endoscopic approach targeting the biliary tract is central to initial management — providing decompression and relief of obstruction ahead of any definitive treatment. The specific procedural details, sequencing, and full clinical pathway are contained in the complete protocol.
The full structured regimen is available via the link below.
DOI: 10.5772/intechopen.1010159
It is particularly useful for patients who are not fit for surgery or those who present with acute cholangitis, where decompression of the biliary tract serves as a temporary solution before definitive treatment.
This technique enables sphincterotomy for stone extraction and supports procedures like stent placement or naso-biliary tube insertion.
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