Treatment of Mirizzi Syndrome
NCT04672902 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 3
Last updated 2020-12-17
Summary
Mirizzi syndrome is an infrequent complication of long-standing cholelithiasis. Extrinsic compression of the common hepatic duct is usually caused by an impacted stone in Hartmann's pouch or cystic duct resulting in the development of cholecystobiliary fistula. This syndrome is classified based on the presence and severity of cholecystobiliary fistula. Mirizzi syndrome is challenging to diagnose preoperatively and may require complex biliary surgical procedures for resolution. Endoscopic treatment is a safe alternative with a high success rate. Single-operator cholangioscopy combined with lithotripsy has been shown to have a 90-100% success rate in the treatment of biliary stones. Herein, A single center experience treating Mirizzi syndrome with single-operator cholangioscopy guided electrohydraulic lithotripsy is presented. Difficult management of Mirizzi syndrome has led to research of new treatment options to minimize the risk of high rate complications. Single-operator cholangioscopy in combination with laser lithotripsy is an adequate and safe alternative for the treatment of this condition.
Conditions
- Mirizzi Syndrome
- Cholelithiasis
- Acute Cholecystitis
Interventions
- PROCEDURE
-
Single-operator cholangioscopy guided electrohydraulic lithotripsy
Single-operator cholangioscopy guided electrohydraulic lithotripsy has the advantage of providing direct visualization of the bile ducts, enabling a single physician to diagnose and perform the therapeutic intervention in a single procedure.
Sponsors & Collaborators
-
Tecnologico de Monterrey
lead OTHER
Eligibility
- Min Age
- 20 Years
- Max Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-11-01
- Primary Completion
- 2020-12-01
- Completion
- 2020-12-01
Countries
- Mexico
Study Locations
More Related Trials
-
Immediate vs. Elective Endoscopic Removal of Large CBD Stones in High-Risk Elderly Patients
NCT06948279 ·Status: COMPLETED ·Phase: NA
-
Routine Nasobiliary Insertion During ERCP in High Risk Patients.
NCT02889471 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Mechanical Intracanal (ML) Lithotripsy and Electrohydraulic Intracolangioscopic (EHL) Lithotripsy in the Treatment of Difficult Main Biliary Tract Lithiasis
NCT04970030 ·Status: UNKNOWN ·Phase: NA
-
Gallbladder Cryoablation in High-Risk Patients
NCT04915651 ·Status: UNKNOWN ·Phase: NA
-
ESWL Versus SOPIL for Treatment of Pancreatic Duct Stones
NCT04158297 ·Status: COMPLETED ·Phase: NA
-
Laparoendoscopic Rendezvous for Concomitant Gall Bladder Stones and Common Bile Duct Stones
NCT07008170 ·Status: RECRUITING ·Phase: NA
-
Clinical Trial Comparing ERCP vs ERCP and Transmural Gall Bladder Drainage
NCT03921502 ·Status: RECRUITING ·Phase: NA
-
Optimizing the Evaluation and Management of Patients With Suspected Choledocholithiasis
NCT05141916 ·Status: RECRUITING
-
Effect of the Sequence of Dilatation and Lithotripsy on the Treatment of Choledocholithiasis With ERCP
NCT05035433 ·Status: UNKNOWN ·Phase: NA
-
Biliary Cannulation During Endoscopic Retrograde Cholangiopancreatography: Precut Versus Conventional Cannulation
NCT02477228 ·Status: COMPLETED ·Phase: NA
-
Non-Complex Biliary Stones DSC vs ERC
NCT03421340 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Fistulotomy for Biliary Cannulation
NCT04037007 ·Status: RECRUITING ·Phase: NA
-
Randomized Trial of Wire and Sphincterotome Systems for Biliary Cannulation
NCT02197338 ·Status: COMPLETED ·Phase: NA
-
SpyGlass Versus ESWL for Large Common Bile Duct Stones
NCT05186350 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Treatment of Difficult Bile Duct Stones: Spyglass + EHL x Balloon Dilation of the Papilla
NCT02703077 ·Status: UNKNOWN ·Phase: PHASE4
-
Spanish Registry of Quality Indicators and Adverse Events of Endoscopic Retrograde Cholangiopancreatography
NCT06670547 ·Status: NOT_YET_RECRUITING
-
Urgent (<24 Hours) Versus Early (24 to 48 Hours) ERCP for Patients With Mild and Moderate Acute Cholangitis
NCT05920954 ·Status: COMPLETED ·Phase: NA
-
Interventional Endoscopy Database for Pancreatico-biliary, Gastrointestinal and Esophageal Disorders
NCT01438385 ·Status: UNKNOWN
-
Electrohydraulic Versus Laser Lithotripsy for Treatment of Difficult to Remove Biliary Stones
NCT01571271 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Pre and Intraoperative ERCP in Treatment of Common Bile Duct Stones
NCT01046552 ·Status: COMPLETED ·Phase: NA
-
Prospective Multicenter Evaluation of a New Short-access-cholangioscope for Biliary Duct Strictures and Gall Stones
NCT01683240 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Therapy of Malignant Bile Duct Strictures
NCT01543607 ·Status: TERMINATED ·Phase: NA
-
Papillary Balloon Dilation Versus Intraductal Lithotripsy
NCT03536247 ·Status: UNKNOWN ·Phase: NA
-
Early Versus Late Cholecystectomy After Clearance of Common Bile Duct Stones
NCT02460315 ·Status: COMPLETED ·Phase: NA
-
Needle Knife Fistulotomy Versus Partial Ampullary Endoscopic Mucosal Resection for Difficult Biliary Cannulation
NCT05068739 ·Status: COMPLETED ·Phase: NA