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Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
Page 36
conference
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JOINT EVENT
12
th
Global Gastroenterologists Meeting
3
rd
International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Hideaki Kawabata, J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-063
Magnetic compression anastomosis for obstructed choledocho-jejunostomy
M
agnetic compression anastomosis (MCA) has been developed as a non-surgical alternative treatment for biliary
obstruction without serious complications. A 70-year-old woman who had undergone pancreaticoduodenectomy with
modified Child reconstruction for pancreatic head cancer suffered from refractory anasto-cutaneous fistula at the site of
gastro-jejunostomy and obstructed choledocho-jejunostomy with no recurrent findings after the operation. We performed
choledocho-jejunostomy using the MCA technique. The two magnets inserted into the obstruction of the hepatic side and of
the jejunal side were immediately attracted towards each other transmurally, and reanastomosis was confirmed 7 days after
starting the compression. The magnets were retrieved and an indwelling drainage tube was placed. The internal tube was
removed and a plastic stent is placed 1 year after reanastomosis and no MCA-related complications have been observed.
Recent Publications
1. Takao S, Matsuo Y, Shinchi H, Nakajima S, Aikou T et al. (2001) Magnetic compression anastomosis for benign
obstruction of the common bile duct. Endoscopy. 33(11):988-990.
2. Mimuro A, Tsuchida A, Yamanouchi E, Itoi T, Ozawa T et al. (2003) A novel technique of magnetic compression
anastomosis for severe biliary stenosis. Gastrointest Endosc. 58(2):283-287.
3. Suyama K, Takamori H, Yamanouchi E, Tanaka H, Sakamoto Y et al. (2010) Recanalization of obstructed
choledochojejunostomy using the magnet compression anastomosis technique. Am. J Gastroenterol. 105(1):230-231.
4. Jang S I, Lee KH, Yoon H J, Lee DK (2016) Treatment of completely obstructed benign biliary strictures with magnetic
compression anastomosis: follow-up results after recanalization. Gastrointest Endosc. 85(5):1057-1066. Doi:10.1016/j.
gie.2016.08.047.
5. Itoi T, Kasuya K, Sofuni A, Itokawa F, Tsuchiya T et al. (2011) Magnetic compression anastomosis for biliary
obstruction: review and experience at Tokyo Medical University Hospital. J Hepatobiliary Pancreat. Sci. 18(3):357365.
Hideaki Kawabata
Kyoto Okamoto Memorial Hospital, Japan