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Showing content from https://link.springer.com/doi/10.1007/s00268-008-9660-3 below:

The Relationship of Mirizzi Syndrome and Cholecystoenteric Fistula: Validation of a Modified Classification

Mirizzi syndrome and cholecystoenteric fistula with or without gallstone ileus are late complications of gallstone disease. We previously suggested that the natural history of Mirizzi syndrome may not end with just a cholecystobiliary fistula and that the continuous inflammation in the triangle of Calot area may result in a complex fistula involving the biliary tract and the adjacent viscera. The purpose of this study was to establish the relationship of Mirizzi syndrome with cholecystoenteric fistulas.

We retrospectively reviewed the records of all patients older than aged 18 years submitted to emergency or elective cholecystectomy from 1995 to 2006. Of 5,673 cholecystectomies performed during that period, we found 327 (5.7%) patients with Mirizzi syndrome and 105 (1.8%) patients with cholecystoenteric fistula. Ninety-four (89.5%) patients with cholecystoenteric fistula also had an associated Mirizzi syndrome.

Cholecystoenteric fistula was associated with Mirizzi syndrome (p < 0.0001), increased age was associated with Mirizzi syndrome and cholecystoenteric fistula (p < 0.0001), and female gender was associated with Mirizzi syndrome (p < 0.0001).

When during surgery for gallstone disease a cholecystoenteric fistula is encountered, the possibility of an associated Mirizzi syndrome must be considered. The findings of this study confirm the association of Mirizzi syndrome with cholecystoenteric fistula.

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1. Abou-Saif A, Al-Kawas FH (2002) Complications of gallstone disease: Mirizzi syndrome, cholecystocholedocal fistula, and gallstone ileus. Am J Gastroenterol 97:249–254

   Article  PubMed  Google Scholar 

2. Beltran MA, Csendes A (2005) Mirizzi syndrome and gallstone ileus: an unusual presentation of gallstone disease. J Gastrointest Surg 9:686–689

   Article  PubMed  Google Scholar 

3. Özdemír A, Atli MY, Coskun T, Özenc A, Hersek E (1997) Biliary enteric fistulas. Int Surg 82:280–283

   Google Scholar 

4. McSherry CK, Ferstenberg H, Virshup M (1982) The Mirizzi syndrome: Suggested classification and surgical therapy. Surg Gastroenterol 1:219–225

   Google Scholar 

5. Csendes A, Diaz JC, Burdiles P, Maluenda F, Nava O (1989) Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg 76:1139–1143

   Article  PubMed  CAS  Google Scholar 

6. Csendes A, Muñoz C, Albán M (2007) Síndrome de Mirizzi—Fístula colecistobiliar, una nueva clasificación. Rev Chil Cir 59(Suppl):63–64

   Google Scholar 

7. Johnson LW, Sehon JK, Lee WC, Zibari GB, McDonald JC (2001) Mirizzi’s syndrome: experience from a multi-institutional review. Am Surg 67:11–14

   PubMed  CAS  Google Scholar 

8. Schäfer M, Schneiter R, Krähenbühl L (2003) Incidence and management of Mirizzi syndrome during laparoscopic cholecystectomy. Surg Endosc 17:1186–1190

   Article  PubMed  Google Scholar 

9. Mithani R, Schwesinger WH, Bingener J, Sirinek R, Gross GWW (2008) The Mirizzi syndrome: multidisciplinary management promotes optimal outcomes. J Gastrointest Surg 12:1022–1028

   Article  PubMed  Google Scholar 

10. Cortes MR, Vasquez AG (2003) Frequency of the Mirizzi syndrome in a teaching hospital. Cir Gen 25:334–337

    Google Scholar 

11. Masannat Y, Masannat Y, Shatnawei A (2006) Gallstone ileus: a review. Mount Sinai J Med 73:1132–1134

    Google Scholar 

12. Chatzoulis G, Kaltsas A, Danilidis L, Dimitrou J, Pachiadakis I (2007) Mirizzi syndrome type IV associated with cholecystocolic fistula: a very rare condition: report of a case. BMC Surg 7:6

    Article  PubMed  Google Scholar 

13. Pavlidis TE, Atmatzidis KS, Papaziogas BT, Papaziogas TB (2003) Management of gallstone ileus. J Hepatobiliary Pancreat Surg 10:299–302

    Article  PubMed  Google Scholar 

14. Doko M, Zovak M, Kopljar M, Glavan E, Ljubicic N, Hochstädter H (2003) Comparison of surgical treatment of gallstone ileus: preliminary report. World J Surg 27:400–404

    Article  PubMed  Google Scholar 

15. Heuman R, Sjödahl R, Wetterfors J (1980) Gallstone ileus: an analysis of 20 patients. World J Surg 4:595–600

    Article  PubMed  CAS  Google Scholar 

16. Clavien PA, Richon J, Burgan S, Rohner A (1990) Gallstone ileus. Br J Surg 77:737–742

    Article  PubMed  CAS  Google Scholar 

17. Karademir S, Astarcioglu H, Sökmen S, Atila K, Tankurt E, Akpinar H, Coker A, Astarcioglu I (2000) Mirizzi’s syndrome: diagnostic and surgical considerations. J Hepatobiliary Pancreat Surg 7:72–77

    Article  PubMed  CAS  Google Scholar 

18. Al-Akeely MHA, Alam MK, Bismar HA, Khalid K, Al-Teimi I, Al-Dossary NF (2005) Mirizzi syndrome: ten years experience from a teaching hospital in Riyadh. World J Surg 29:1687–1692

    Article  PubMed  Google Scholar 

19. Desai DC, Smink RD (1997) Mirizzi syndrome type II: is laparoscopic cholecystectomy justified? J Soc Lap Surg 1:237–239

    CAS  Google Scholar 

20. Rohatgi A, Singh KK (2006) Mirizzi syndrome: laparoscopic management by subtotal cholecystectomy. Surg Endosc 20:1477–1481

    Article  PubMed  CAS  Google Scholar 

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1. Department of Surgery, Hospital De Ovalle, Ovalle, Chile

   Marcelo A. Beltran & Karina S. Cruces

2. Manuel Antonio Caro 2629, San Joaquin, P.O. Box 912, La Serena, Región De Coquimbo, Chile

   Marcelo A. Beltran

3. Department of Surgery, Hospital Clínico De La Universidad De Chile, Santiago De Chile, Chile

   Attila Csendes

1. Marcelo A. Beltran
2. Attila Csendes
3. Karina S. Cruces

Correspondence to Marcelo A. Beltran.

Beltran, M.A., Csendes, A. & Cruces, K.S. The Relationship of Mirizzi Syndrome and Cholecystoenteric Fistula: Validation of a Modified Classification. World J Surg 32, 2237–2243 (2008). https://doi.org/10.1007/s00268-008-9660-3

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• Published: 28 June 2008

• Issue Date: October 2008

• DOI: https://doi.org/10.1007/s00268-008-9660-3

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