Treatment of Mirizzi Syndrome with Acute Cholangitis or in Patients Not Fit for Surgery
When Mirizzi syndrome occurs alongside acute cholangitis, or in a patient who cannot safely undergo surgery, the clinical priorities shift — and a specific, sequenced approach is required.
Clinical scenario
In patients who are not fit for surgery, or who present with acute cholangitis, decompression of the biliary tract is a central immediate concern — serving as a temporary measure before any definitive intervention can be considered.
Treatment approach
Management in this setting involves procedural support for biliary decompression, with definitive surgical treatment — gallbladder removal — as the ultimate goal. The complete protocol details the sequenced approach and clinical decision points.
References
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.
ERCP can complement surgical treatment, but complete management still requires gallbladder removal through surgery.
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