Magnetic compression anastomosis for benign obstruction of the common bile duct

被引:72
作者
Takao, S
Matsuo, Y
Shinchi, H
Nakajima, S
Aikou, T
Iseji, T
Yamanouchi, E
机构
[1] Kagoshima Univ, Sch Med, Dept Surg 1, Kagoshima 8908520, Japan
[2] Kagoshima Univ, Sch Med, Dept Internal Med 2, Kagoshima 8908520, Japan
[3] Tokyo Womens Med Coll, Dept Radiol, Tokyo 162, Japan
关键词
D O I
10.1055/s-2001-17923
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Advances in interventional radiology have made possible magnetic compression anastomosis between the bile duct and the small intestine as. a novel treatment. A 70-year-old man who had undergone subtotal gastrectomy for gastric cancer 2 years previously experienced recurring cholangitis with high fever and jaundice. Diagnostic evaluation subsequently demonstrated complete obstruction of the common bile duct which was attributed to recurrent cholangitis. A parent magnet was placed endoscopically into the afferent loop of the duodenum through the gastrojejunostomy with Billroth II reconstruction. The daughter magnet attached to a guide wire was placed in the obstructed common bile duct through a percutaneous transhepatic cholangiographic drainage tube. Two magnets were immediately attracted towards each other transmurally, and anastomosis was established on day 32 after the procedure. This novel method of magnetic compression anastomosis has the advantages of noninvasiveness and simplicity, as well as being a well-tolerated procedure for indications such as biliary obstruction.
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页码:988 / 990
页数:3
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