582 results match your criteria Mirizzi Syndrome Imaging


Laparoscopic Cholecystectomy for Mirizzi Syndrome: Is It Safe?

Am Surg 2018 Apr;84(4):e141-e143

Mayo Clinic Florida, Jacksonville, Florida, USA.

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A case of type II Mirizzi syndrome treated by simple endoscopic means.

J Surg Case Rep 2018 Oct 8;2018(10):rjy257. Epub 2018 Oct 8.

Department of Surgery, Yan Chai Hospital, Hong Kong, China.

Mirizzi syndrome is an uncommon complication of chronic cholelithiasis. Advancement in radiological modalities and minimally invasive surgery has led to improved pre-operative diagnoses and more laparoscopic cholecystectomies. But for unsuitable surgical candidates, endoscopy can be the definitive treatment. Read More

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October 2018
7 Reads

Reducing NAFLD-screening time: A comparative study of eight diagnostic methods offering an alternative to ultrasound scans.

Liver Int 2018 Sep 24. Epub 2018 Sep 24.

Laboratory of Epidemiology and Biostatistics, National Institute of Gastroenterology, "Saverio de Bellis" Research Hospital, Castellana Grotte, Bari, Italy.

Background & Aims: The use of ultrasound scan (US) in non-alcoholic fatty liver disease (NAFLD) screening overloads US waiting lists. We hypothesized and tested a hybrid two-step method, consisting of applying a formula, to exclude subjects at low risk, before US.

Methods: The sample included 2970 males and females (937 with NAFLD) diagnosed by US. Read More

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September 2018
1 Read

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report.

J Int Med Res 2018 Nov 23;46(11):4806-4812. Epub 2018 Sep 23.

1 Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, China PR.

Background: Mirizzi syndrome is a rare complication of chronic cholecystitis, usually caused by gallstones impacted in the cystic duct or the neck of the gallbladder. Mirizzi syndrome results in compression of the hepatic duct or fistula formation between the gallbladder and common bile duct (or hepatic duct, right hepatic duct, or even mutative right posterior hepatic duct). Clinical features include abdominal pain, fever, and obstructive jaundice. Read More

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November 2018
9 Reads

Laparoscopic treatment of type II Mirizzi Syndrome with common bile duct plasty.

Authors:
C Muñoz F Gonzalez

J Visc Surg 2018 Sep 13. Epub 2018 Sep 13.

Upper GI & HPB Unit, Hospital Regional de Talca, 1, Norte #19990, Talca, Chile; Surgery Departament, Universidad Católica del Maule, Talca, Chile.

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September 2018

Aerobic Physical Activity and a Low Glycemic Diet Reduce the AA/EPA Ratio in Red Blood Cell Membranes of Patients with NAFLD.

Nutrients 2018 Sep 13;10(9). Epub 2018 Sep 13.

Laboratory of Epidemiology and Biostatistics, National Institute of Gastroenterology "S. de Bellis" Research Hospital, 70013 Castellana Grotte (Ba), Italy.

Omega-6 Polyunsaturated Fatty Acids (PUFAs), through the eicosanoids derived from arachidonic acid (AA), are able to modulate the inflammatory processes, whereas omega-3 PUFAs, such as eicosapentaenoic acid (EPA), exert anti-oxidant and anti-inflammatory effects. An unbalanced AA/EPA ratio in favor of AA leads to the development of different metabolic disorders, including non-alcoholic fatty liver disease (NAFLD). The aim of the present study was to evaluate the effects of different diets, alone and in combination with two physical activity programs, on the AA/EPA ratio value in erythrocyte membranes of patients with NAFLD. Read More

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September 2018

Comparing Allergist And Cardiologist Considerations For The Optimal Management Of Thienopyridines Hypersensitivity.

Endocr Metab Immune Disord Drug Targets 2018 Sep 14. Epub 2018 Sep 14.

Thomas Jefferson University Hospital - Department of Medicine, Jefferson Angioplasty Center Philadelphia. Italy.

The thienopyridine family includes ticlopidine, clopidogrel and prasugrel which are antiplatelet drugs largely used, mainly associated to aspirin, for treatment of acute coronary syndromes and after percutaneous coronary interventions, to avoid thrombosis. In some patients, thienpyridines may cause hypersensitivity reactions which jeopardize the optimal therapeutic and preventive approach to vascular diseases. The management of thienopyridine hypersensitivity is best done as an interdisciplinary collaboration between the allergist and cardiologist. Read More

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September 2018

Effective cholangioscopic management of a patient with type IV Mirizzi syndrome.

Dig Liver Dis 2018 Aug 21. Epub 2018 Aug 21.

Paola Soriani e Mauro Manno: Digestive Endoscopy Unit, Carpi-Mirandola Hospitals, Azienda USL Modena.

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Gallbladder Carcinosarcoma with Mirizzi Syndrome: a Rare Presentation.

J Gastrointest Cancer 2018 Sep 4. Epub 2018 Sep 4.

Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Basni Industrial Area, Phase-II, Jodhpur, Rajasthan, 342005, India.

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September 2018
1 Read

Correction to: Acute acalculous cholecystitis determining Mirizzi syndrome: case report and literature review.

BMC Surg 2018 Aug 30;18(1):69. Epub 2018 Aug 30.

University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.

Following publication of the original article [1], the authors reported that one of the authors' names is spelled incorrectly. Read More

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August 2018
6 Reads

Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease.

Can J Gastroenterol Hepatol 2018 12;2018:6962090. Epub 2018 Aug 12.

Department of Surgical Sciences, Hepatobiliary Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University of Sacred Hearth, Rome, Italy.

Background: Mirizzi syndrome is a condition difficult to diagnose and treat, representing a particular "challenge" for the biliary surgeon. The disease can mimic cancer of the gallbladder, causing considerable diagnostic difficulties. Furthermore, it increases the risk of intraoperative biliary injury during cholecystectomy. Read More

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August 2018
14 Reads

Multimodality Diagnosis of Mirizzi Syndrome.

Am J Med Sci 2018 Oct 4;356(4):e33. Epub 2018 May 4.

Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut.

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October 2018
1 Read
1.510 Impact Factor

Role of Laparoscopic Surgery in the Current Management of Mirizzi Syndrome.

Am Surg 2018 May;84(5):667-671

Emory University School of Medicine/Grady Memorial Hospital, Atlanta, Georgia, USA.

Mirizzi syndrome (MS) is an uncommon complication of cholelithiasis caused by extrinsic biliary compression by stones in the gallbladder infundibulum or cystic duct. The purpose of this study was to evaluate the outcomes associated with a laparoscopic approach to this disease process. This is a 10-year, retrospective study conducted at two academic medical centers with established acute care surgery practices. Read More

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May 2018
2 Reads

Is fat good for arrhythmias in ischemic heart failure? Another face of the obesity paradox.

Int J Cardiol 2018 08;265:169-170

Fondazione Toscana Gabriele Monasterio, Pisa, Italy.

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August 2018
2 Reads

Mirizzi's syndrome: A scoring system for preoperative diagnosis.

Saudi J Gastroenterol 2018 Sep-Oct;24(5):274-281

Department of Surgical Gastroenterology, Jagjivanram Western Railway Hospital, Mumbai, Maharashtra, India.

Background/aim: Mirizzi's syndrome (MS) is an unusual complication of gallstone disease and occurs in approximately 1% of patients with cholelithiasis. Majority of cases are not identified preoperatively, despite the availability of modern imaging techniques. A preoperative diagnosis can forewarn the operating surgeon and avoid bile duct injuries in cases of complicated cholecystitis. Read More

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June 2018
8 Reads

Septic shock secondary to Mirizzi syndrome resolved in two stages.

Cir Esp 2018 May 19. Epub 2018 May 19.

Servicio de Aparato Digestivo, Hospital Álvarez Buylla, Mieres del Camino, Asturias, España.

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May 2018
1 Read

Laparoscopic Common Bile Duct Exploration Use of a Rigid Ureteroscope: A Single Institute Experience.

J Laparoendosc Adv Surg Tech A 2018 Oct 20;28(10):1169-1173. Epub 2018 Apr 20.

Department of General Surgery, Sefako Makgatho Health Sciences University , Dr George Mukhari Academic Hospital, Pretoria, South Africa .

Background: Laparoscopic common bile duct exploration (LCBDE) is used to treat choledocholithiasis. Flexible choledochoscopy is usually performed; however, this instrument is fragile and liable to breakage.

Materials And Methods: Data were collected and reviewed retrospectively from a prospectively maintained database. Read More

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October 2018
9 Reads

Acute acalculous cholecystitis of an intrahepatic gallbladder causing Mirizzi's syndrome.

BMJ Case Rep 2018 Apr 13;2018. Epub 2018 Apr 13.

Department of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada.

We present the case of a young female with symptoms of biliary colic and a biochemical profile consistent with biliary obstruction. Imaging was suspicious for Mirizzi's syndrome. Intraoperatively, the patient was found to have a complete intrahepatic gallbladder causing common hepatic duct compression with final pathology confirming acute cholecystitis. Read More

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April 2018
7 Reads

Mirizzi syndrome: a new approach to an old problem.

Authors:
Kit-Fai Lee

Hepatobiliary Surg Nutr 2018 Feb;7(1):56-57

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

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February 2018

Single incision laparoscopic cholecystectomy for patients with Mirizzi syndrome.

Ann Surg Treat Res 2018 Feb 30;94(2):106-111. Epub 2018 Jan 30.

Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Since multiport laparoscopic cholecystectomy has become a standard treatment for gallbladder (GB) disease, a single incision laparoscopic surgical technique has been tried to decrease the surgical site pain and achieve a better cosmetic out come in selected patients. The development of devices dedicated for single incision laparoscopic cholecystectomy (SILC) is expanding the indication of this single incision laparoscopic technique to more complicated GB diseases. Mirizzi syndrome (MS) is one of the complex uncommon gallstone diseases in patients undergoing cholecystectomy. Read More

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February 2018
2 Reads

Exercise intolerance in heart failure with preserved ejection fraction: A reappraisal of central mechanisms?

Int J Cardiol 2018 03 28;254:248-249. Epub 2018 Jan 28.

Division of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy; Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.

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March 2018
2 Reads

Ticking Bomb: Asymptomatic Mirizzi Syndrome.

Cureus 2017 Nov 16;9(11):e1854. Epub 2017 Nov 16.

Wright State University Boonshoft School of Medicine.

Mirizzi syndrome, also known as extrinsic biliary compression syndrome, is a rare clinical entity in which the common bile duct is obstructed by compression by the impaction of one or more gallstones in the cystic duct or gallbladder infundibulum. This case illustrates an absolutely asymptomatic presentation of Mirizzi syndrome in a 62-year-old, otherwise healthy, woman. Mirizzi syndrome was treated with preemptive laparotomy cholecystectomy. Read More

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November 2017
3 Reads

Current trends in the management of Mirizzi Syndrome: A review of literature.

Medicine (Baltimore) 2018 Jan;97(4):e9691

Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, China.

Mirizzi Syndrome is a rare and challenging clinical entity to manage. However, recent advances in technology have provided surgeons with new options for more effective diagnosis and treatment of this condition. This paper reviews these new diagnostic modalities and treatment approaches for the management of Mirizzi Syndrome. Read More

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January 2018
9 Reads

Histopathology Findings in Patients Undergoing Laparoscopic Sleeve Gastrectomy.

Obes Surg 2018 Jun;28(6):1760-1765

Department of Medico-Surgical Sciences and Biotechnologies, Division of General Surgery, Bariatric & Metabolic Center of Excellence (IFSO European Chapter), Center of Excellence (SICOB - Italian Society of Bariatric and Metabolic Surgery), La Sapienza University of Rome, Via F. Faggiana 1668, 04100, Latina, Italy.

Background: Laparoscopic sleeve gastrectomy (LSG) has gained popularity in the last 10 years for its good results in weight loss and comorbidity control. However, guidelines on the pathological examination of the specimen are lacking. The aim of this retrospective study was to determine the usefulness of the routine specimen examination when presurgery endoscopy (upper gastrointestinal endoscopy, UGIE) and multiple gastric biopsies are part of the preoperative work-up. Read More

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June 2018
5 Reads

A case of Mirizzi syndrome that was successfully treated by laparoscopic choledochoplasty using a gallbladder patch.

J Surg Case Rep 2017 Nov 7;2017(11):rjx212. Epub 2017 Nov 7.

Department of Surgery, Saga University Faculty of Medicine, Saga City, Saga 849-8501, Japan.

The use of laparoscopic surgery in the treatment of Mirizzi syndrome is considered controversial due to the degree of technical difficulty. We herein describe the case of a 36-year-old woman who was admitted to our hospital due to appetite loss, nausea and back pain. Endoscopic retrograde cholangiography revealed a round-shaped filling defect at the confluence of the bile duct. Read More

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November 2017
8 Reads

A Retrospective Review of the Diagnostic and Management Challenges of Mirizzi Syndrome at the Singapore General Hospital.

Dig Surg 2018 30;35(6):491-497. Epub 2017 Nov 30.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.

Background: Mirizzi syndrome (MS) occurs when gallstone impaction in Hartmann's pouch results in extrinsic obstruction of the common bile duct, and fistulation may occur.

Methods: We retrospectively reviewed electronic records of patients surgically treated for MS from November 2001 to June 2012. Patient presentations, diagnostic methods, treatments and complications were recorded. Read More

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November 2017
14 Reads

Mirizzi syndrome: necessity for safe approach in dealing with diagnostic and treatment challenges.

Ann Hepatobiliary Pancreat Surg 2017 Aug 31;21(3):122-130. Epub 2017 Aug 31.

King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Backgrounds/aims: The challenging dilemma of Mirizzi syndrome for operating surgeons arises from the difficulty to diagnose it preoperatively, and approximately 50% of cases are diagnosed intraoperatively. In this study, we analysed the effectiveness of diagnostic modalities and treatment options in our series of Mirizzi syndrome.

Methods: Patients had a preoperative or intraoperative diagnosis of Mirizzi syndrome, and were classified into three groups: Group 1: Incidental finding of Mirizzi syndrome intraoperatively (n=34). Read More

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August 2017
8 Reads

Enhancing the Spectral Hardening of Cosmic TeV Photons by Mixing with Axionlike Particles in the Magnetized Cosmic Web.

Phys Rev Lett 2017 Sep 5;119(10):101101. Epub 2017 Sep 5.

SISSA-International School for Advanced Studies, Via Bonomea 265, 34136 Trieste, Italy.

Large-scale extragalactic magnetic fields may induce conversions between very-high-energy photons and axionlike particles (ALPs), thereby shielding the photons from absorption on the extragalactic background light. However, in simplified "cell" models, used so far to represent extragalactic magnetic fields, this mechanism would be strongly suppressed by current astrophysical bounds. Here we consider a recent model of extragalactic magnetic fields obtained from large-scale cosmological simulations. Read More

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September 2017
2 Reads

Prognostic Significance of Central Apneas Throughout a 24-Hour Period in Patients With Heart Failure.

J Am Coll Cardiol 2017 Sep;70(11):1351-1364

Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana Gabriele Monasterio, Pisa, Italy.

Background: Large trials using noninvasive mechanical ventilation to treat central apnea (CA) occurring at night ("sleep apnea") in patients with systolic heart failure (HF) have failed to improve prognosis. The prevalence and prognostic value of CA during daytime and over an entire 24-h period are not well described.

Objectives: This study evaluated the occurrence and prognostic significance of nighttime, daytime, and 24-h CA episodes in a large cohort of patients with systolic HF. Read More

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September 2017
4 Reads

Significant decrease of saturation index in erythrocytes membrane from subjects with non-alcoholic fatty liver disease (NAFLD).

Lipids Health Dis 2017 Aug 23;16(1):160. Epub 2017 Aug 23.

National Institute of Gastroenterology "S. de Bellis" Research Hospital, 70013 Castellana Grotte, Bari, Italy.

Background: The lipidomic profiling of erythrocyte membranes is expected to provide a peculiar scenario at molecular level of metabolic and nutritional pathways which may influence the lipid balance and the adaptation and homeostasis of the organism. Considering that lipid accumulation in the cell is important in promoting tissue inflammation, the purpose of this study is to analyze the fatty acid profile in red blood cell membranes of patients with Non-Alcoholic Fatty Liver Disease (NAFLD), in order to identify and validate membrane profiles possibly associated with the degree of hepatic damage.

Methods: This work presents data obtained at baseline from 101 subjects that participated to a nutritional trial (registration number: NCT02347696) enrolling consecutive subjects with NAFLD. Read More

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August 2017
11 Reads

[Mirizzi's syndrome: a rare cause of biliary tract obstruction: about a case and review of the literature].

Pan Afr Med J 2017 18;27:45. Epub 2017 May 18.

²Service des urgences médico-chirurgicales, Hôpital Militaire Mohamed V, Faculté de médecine et de pharmacie, Rabat, Maroc.

Mirizzi's syndrome is a rare complication of chronic vesicular lithiasis with prevalence ranging from 0.7% to 1.4% among patients who have undergone cholecystectomy. Read More

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September 2017
16 Reads

How to take arms against central apneas in heart failure.

Expert Rev Cardiovasc Ther 2017 Oct 23;15(10):743-755. Epub 2017 Aug 23.

a Cardiology and Cardiovascular Medicine Department , Fondazione Toscana Gabriele Monasterio , Pisa , Italy.

Introduction Despite being a risk mediator in several observational studies, central apneas are currently orphan of treatment in heart failure. After the neutral effects on survival of two randomized controlled trials (RCTs) based on the use of positive airway pressure (the CANPAP and SERVE-HF trials), two alternative hypotheses have been formulated: 1) Periodic breathing/Cheyne-Stokes respiration (PB/CSR) in HF is protective. Indeed, the Naughton's hypothesis assumes that hyperventilation leads to increased cardiac output, lung volume, oxygen storage and reduced muscle sympathetic nerve activity, while central apnea to respiratory muscle rest and hypoxia-induced erythropoiesis. Read More

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October 2017
7 Reads

Gastrointestinal: Mirizzi syndrome masquerading as primary cholangiocarcinoma.

J Gastroenterol Hepatol 2018 Feb;33(2):335

Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

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February 2018
1 Read

Cholangioscopic Management of Mirizzi Syndrome in a Pediatric Patient.

J Pediatr Gastroenterol Nutr 2017 Nov;65(5):e111

*Division of Pediatric Gastroenterology, Hepatology and Nutrition †Division of Pediatric Surgery ‡Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

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November 2017

Reconstruction of Bile Duct Injury and Defect with the Round Ligament.

J Gastrointest Surg 2017 Sep 10;21(9):1540-1543. Epub 2017 Jul 10.

Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, 100 Bd du Général Leclerc, 92110, Clichy, France.

Lateral injury of the bile duct can occur after cholecystectomy, bile duct dissection, or exploration. If direct repair is not possible, conversion to bilioenteric anastomosis can be needed with the risk of long-term bile duct infections and associated complications. We developed a new surgical technique which consist of reconstructing the bile duct with the round ligament. Read More

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September 2017
15 Reads

[Diagnosis and surgical treatment of mirizzi syndrome].

Klin Khir 2016 Aug(8):8-11

Retrospective analysis of the surgical treatment results in 34 patients, operated for intraoperatively diagnosed Mirizzi syndrome (MS), was done. Analysis of intraoperative changes have witnessed, that while transition occurrence of MS from the first to the fifth type a severity of morphological changes in a gallbladder-biliary ducts-duodenum system enhanced with duodenal integrity loss and development of cholecystobiliary or cholecystodigestive fistula. Surgical correction of MS have envisaged cholecystectomy performance or subtotal resection of gallbladder, plastic closure of biliary fistula, using various procedures, external biliary draining and formation of hepaticojejunostomy in accordance to Roux method. Read More

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Updates in Mirizzi syndrome.

Hepatobiliary Surg Nutr 2017 Jun;6(3):170-178

Cirugía General, Hospital General de México, México City, México.

Mirizzi syndrome, known as extrinsic bile compression syndrome, is a rare complication of cholecystitis and chronic cholelithiasis, secondary to the obliteration of the infundibulum of the gallbladder or cystic duct caused by the impact of one or more calculations in these anatomical structures, which leads to compression of the adjacent bile duct, resulting in partial or complete obstruction of the common hepatic duct, triggering liver dysfunction. Our aim is to identify and describe the current epidemiology, diagnostic methods, and treatment of Mirizzi syndrome. A literature search was performed using different databases, including Medline, Cochrane, Embase, Medscape, PubMed, using keywords: Mirizzi syndrome, epidemiology, markers, pathophysiology, clinical presentation, diagnosis, and treatment. Read More

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June 2017
17 Reads

A large choledochocystolithiasis mimicking Mirizzi syndrome.

BMJ Case Rep 2017 Jun 24;2017. Epub 2017 Jun 24.

Department of Medicine, Aga Khan University, Karachi, Pakistan.

An 18-year-old man presented with spontaneous severe epigastric pain, progressing and radiating to back since 3 days. It was associated with epigastric tenderness, bilious vomiting and jaundice. He had been intermittently experiencing these symptoms for the last 1 year. Read More

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June 2017
4 Reads

Single-incision laparoscopic common bile duct exploration in 101 consecutive patients: choledochotomy, transcystic, and transfistulous approaches.

Surg Endosc 2018 Jan 22;32(1):485-497. Epub 2017 Jun 22.

Division of General Surgery, Department of Surgery, Show Chwan Memorial Hospital, 542, Sec 1 Chung-Shan Rd., Changhua, 500, Taiwan.

Background: Laparoscopic surgery for choledocholithiasis is still evolving. Only a few reports of single-incision laparoscopic common bile duct exploration (LCBDE) have been published.

Methods: One hundred and one consecutive patients underwent single-incision LCBDE (SILCBDE) by one surgeon with straight instruments during a 42-month period. Read More

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January 2018
3 Reads

Long-term survival after multidisciplinary therapy for residual gallbladder cancer with peritoneal dissemination: a case report.

Surg Case Rep 2017 Dec 14;3(1):76. Epub 2017 Jun 14.

Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Background: Although surgical resection is the only curative treatment for gallbladder cancer (GBC), concomitant peritoneal dissemination is considered far beyond the scope of resection. We report a long-term survivor with a residual GBC with multiple peritoneal disseminations who underwent an extended resection after effective chemotherapy.

Case Presentation: A 59-year-old male underwent an open cholecystectomy for Mirizzi syndrome at a local hospital. Read More

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December 2017
5 Reads

Hemobilia due to arteriobiliary fistula complicating ERCP for residual bile duct stone in a case of Mirizzi syndrome.

Ann Hepatobiliary Pancreat Surg 2017 May 23;21(2):88-92. Epub 2017 May 23.

Department of Gastroenterology, SevenHills Hospital and Health City, Mumbai, India.

Hemobilia is a rare cause of upper gastrointestinal tract bleeding. Most cases are iatrogenic following medical interventions, most commonly liver biopsy and transhepatic cholangiography. We present a case of arteriobiliary fistula between the right hepatic artery and the common hepatic duct, in a case of Mirrizi syndrome, following endoscopic biliary stenting and presenting with hemobilia. Read More

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May 2017
15 Reads

Mirizzi syndrome: a new insight provided by a novel classification.

Ann Hepatobiliary Pancreat Surg 2017 May 23;21(2):67-75. Epub 2017 May 23.

Department of Surgery, Hospital Doctor Peset, Valencia, Spain.

Backgrounds/aims: Mirizzi syndrome (MS) is an uncommon complication of cholelithiasis. The aim of this study is to evaluate our 15-year experience in this challenging entity and to propose a new classification for this disease.

Methods: A retrospective study including patients diagnosed with Mirizzi syndrome and undergoing surgical procedures for Mirizzi syndrome between January 2000 and October 2015 was conducted. Read More

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May 2017
1 Read

Splenic Injury Following Endoscopic Retrograde Cholangiopancreatography: A Case Report and Literature Review.

Case Rep Gastroenterol 2017 Jan-Apr;11(1):241-249. Epub 2017 Apr 28.

Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.

Splenic injury following endoscopy is a rare but potentially fatal complication. While this has been found to occur more frequently after colonoscopy, splenic injury following endoscopic retrograde cholangiopancreatography (ERCP) remains highly uncommon since its first reported case in 1989. Indeed, there have been only 19 such cases reported in the English, German, and Spanish literature collectively over the past 27 years. Read More

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April 2017
1 Read

Feeling the Impact of Long-Term Total Parenteral Nutrition.

Dig Dis Sci 2017 Dec 28;62(12):3317-3320. Epub 2017 Apr 28.

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Stanford University School of Medicine, Stanford, CA, USA.

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December 2017
4 Reads

Effect of a Low Glycemic Index Mediterranean Diet on Non-Alcoholic Fatty Liver Disease. A Randomized Controlled Clinici Trial.

J Nutr Health Aging 2017 ;21(4):404-412

Alberto Rubén Osella, PhD, Laboratory of Epidemiology and Biostatistics, IRCCS Saverio de Bellis, Via Turi 27, 70013 Castellana Grotte (BA), Italy, Tel: +39 0804994655, Fax: +39 0804994650, e-mail:

Introduction: Non-Alcoholic Fatty Liver Disease (NAFLD) is currently the most common form of liver disease worldwide affecting all ages and ethnic groups and it has become a consistent threat even in young people. Our aim was to estimate the effect of a Low Glycemic Index Mediterranean Diet (LGIMD) on the NAFLD score as measured by a Liver Ultrasonography (LUS).

Design: NUTRIzione in EPAtologia (NUTRIEPA) is a population-based Double-Blind RCT. Read More

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August 2017
3 Reads

The difficult gall bladder: Outcomes following laparoscopic cholecystectomy and the need for open conversion.

Am J Surg 2016 Dec 20;212(6):1261-1264. Epub 2016 Oct 20.

Department of Surgery, Mayo Clinic, Phoenix, AZ, USA. Electronic address:

Introduction: Surgery for the difficult gallbladder (DGB) is associated with increased risk compared to more routine laparoscopic cholecystectomies (LC). Laparoscopic "damage control" methods including cholecystostomy, fundus-down approach and subtotal cholecystectomy (SC) have been proposed to avoid conversion to open. We hypothesized that a Total LC (TLC) for DBG can be completed safely with an acceptably low conversion rate. Read More

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December 2016
1 Read

Consistency of cutaneous electrical activity of the human colon with respect to serosal slow waves: A simulation study.

Med Eng Phys 2017 05 22;43:58-63. Epub 2017 Feb 22.

Laboratorio di Fisiopatologia della Nutrizione, IRCCS "Saverio de Bellis", Istituto Specializzato in Gastroenterologia, Castellana Grotte, BA 70013, Italy.

The serosal slow waves in the human colon are complex, since their amplitude and frequency vary over time. Therefore, this study employed a simulation to investigate the consistency between serosal slow waves and cutaneous electrical activity by evaluating whether changes of the cutaneous waveform features due to anatomical and physiological parameters are detectable in the cutaneous electrical activity. The simulation results indicated that (a) changes in the dipole moment involve detectable changes in the amplitude of the cutaneous electrical activity; (b) changes in the annular band velocity induce modifications in the cutaneous signal frequency; and (c) changes in the anatomical factors affect both the amplitude and the frequency of the cutaneous signal. Read More

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May 2017
3 Reads

Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome.

Case Rep Gastrointest Med 2017 22;2017:1710501. Epub 2017 Jan 22.

Division of Gastroenterology, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Mirizzi syndrome is an exceptionally rare diagnosis with an annual incidence of less than 1% in developed countries. In this disease process, stone burden in the cystic duct or gallbladder neck leads to common hepatic duct obstruction, either by mechanical compression or secondary inflammation. Mirizzi syndrome is classified into one of four types based on the presence and severity of cholecystobiliary fistulization. Read More

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January 2017
5 Reads

Fermi Large Area Telescope as a Galactic Supernovae Axionscope.

Phys Rev Lett 2017 Jan 6;118(1):011103. Epub 2017 Jan 6.

Department of Physics, Stockholm University, AlbaNova, SE-106 91 Stockholm, Sweden.

In a Galactic core-collapse supernova (SN), axionlike particles (ALPs) could be emitted via the Primakoff process and eventually convert into γ rays in the magnetic field of the Milky Way. From a data-driven sensitivity estimate, we find that, for a SN exploding in our Galaxy, the Fermi Large Area Telescope (LAT) would be able to explore the photon-ALP coupling down to g_{aγ}≃2×10^{-13}  GeV^{-1} for an ALP mass m_{a}≲10^{-9}  eV. These values are out of reach of next generation laboratory experiments. Read More

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January 2017