{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:03:02Z","timestamp":1760144582839,"version":"build-2065373602"},"reference-count":6,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T00:00:00Z","timestamp":1713744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministero della Salute"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Mirizzi syndrome (MS) is a challenging diagnosis due to its similar presentation with other biliary diseases; thus, the role of endoscopy is sometimes unclear, especially in altered anatomy. Radiological examinations may usually suspect it, but deeper examinations could be necessary to confirm it. Endoscopic retrograde cholangiopancreatography (ERCP) certainly has a therapeutic role in cases of jaundice, cholangitis or concurrent choledocolithiasis, although surgery is without doubt the definitive treatment in most of the cases. Therefore, surgeons may have a clearer picture of the condition of the biliary tree with respect to fistulas thanks to ERCP, particularly in patients with a higher grade of MS (type higher than 2 in the Csendes classification). Therefore, a complete removal of biliary stones is sometimes not possible due to size and location, so biliary stenting becomes the only option, even if transitory. Our brief report is a further demonstration of the fundamental role of ERCP in managing MS, even when it has no long-term therapeutic aim but is performed as bridge-to-surgery, especially in cases with a more difficult biliary anatomy due to the type of fistula. Moreover, we truly suggest discussing patients affected with MS in a multidisciplinary board, preferably in tertiary hepatobiliary centers.<\/jats:p>","DOI":"10.3390\/diagnostics14080855","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T12:38:41Z","timestamp":1713789521000},"page":"855","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic Retrograde Cholangiopancreatography (ERCP) for Suspected Mirizzi Syndrome Type IV as Both a Diagnostic and Bridge-to-Surgery Procedure"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9335-6740","authenticated-orcid":false,"given":"Giacomo Emanuele Maria","family":"Rizzo","sequence":"first","affiliation":[{"name":"Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, 90127 Palermo, Italy"},{"name":"Department of Precision Medicine in Medical, Surgical and Critical Care (Me. Pre. C. C.), University of Palermo, 90127 Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Settimo","family":"Caruso","sequence":"additional","affiliation":[{"name":"Radiology Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, 90127 Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8791-3395","authenticated-orcid":false,"given":"Ilaria","family":"Tarantino","sequence":"additional","affiliation":[{"name":"Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, 90127 Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2215","DOI":"10.1007\/s00464-016-5219-9","article-title":"Complicated gallstone disease: Diagnosis and management of Mirizzi syndrome","volume":"31","author":"Kulkarni","year":"2017","journal-title":"Surg. Endosc."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.ijscr.2020.11.084","article-title":"Mirizzi syndrome in a patient with partial gastrectomy with Billroth II anastomosis: A case report","volume":"77","author":"Rizzo","year":"2020","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Klekowski, J., Piekarska, A., G\u00f3ral, M., Kozula, M., and Chabowski, M. (2021). The Current Approach to the Diagnosis and Classification of Mirizzi Syndrome. Diagnostics, 11.","DOI":"10.3390\/diagnostics11091660"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1002\/jhbp.1016","article-title":"Surgical outcome of Mirizzi syndrome: Value of endoscopic retrograde cholangiopancreatography and laparoscopic procedures","volume":"28","author":"Yeh","year":"2021","journal-title":"J. Hepato-Biliary-Pancreatic Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"rjab239","DOI":"10.1093\/jscr\/rjab239","article-title":"Mirizzi syndrome type V complicated with both cholecystobiliary and cholecystocolic fistula: A case report","volume":"2021","author":"Rizzo","year":"2021","journal-title":"J. Surg. Case Rep."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1002\/bjs.1800761110","article-title":"Mirizzi syndrome and cholecystobiliary fistula: A unifying classification","volume":"76","author":"Csendes","year":"1989","journal-title":"Br. J. Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/8\/855\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:32:01Z","timestamp":1760106721000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/8\/855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,22]]},"references-count":6,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,4]]}},"alternative-id":["diagnostics14080855"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14080855","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2024,4,22]]}}}