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Magnet Compression Anastomosis for Bilioenteric Anastomotic Stricture after Removal of a Choledochal Cyst: A Case Report  

Lim, Hyun-Chul (Department of Internal Medicine, Yonsei University College of Medicine)
Lee, Dong-Ki (Department of Internal Medicine, Yonsei University College of Medicine)
Choi, Hong-Kyu (Department of Internal Medicine, Yonsei University College of Medicine)
Jung, Kyo-Tae (Department of Internal Medicine, Yonsei University College of Medicine)
Lee, Keun-Man (Department of Internal Medicine, Yonsei University College of Medicine)
Jahng, Jae-Hoon (Department of Internal Medicine, Yonsei University College of Medicine)
Park, Joon-Sung (Department of Surgery, Yonsei University College of Medicine)
Won, Jong-Yun (Department of Radiology, Yonsei University College of Medicine)
Publication Information
Clinical Endoscopy / v.41, no.3, 2010 , pp. 180-184 More about this Journal
Abstract
Magnet compression anastomosis is a nonsurgical method that uses two magnets to treat bilio-biliary and bilio-enteric anastomotic strictures after a living donor transplantation. The compression pressure of the two magnets induces ischemic necrosis at the anastomostic stricture and creates a fistula at the stricture site. A choledochal cyst is an uncommon congenital anomaly characterized by dilatation of the biliary tree and can cause obstructive jaundice, cholangitis, biliary stones, and cholangiocelluar carcinoma. Treatment for choledochal cyst is essentially surgical including total excision of the cyst with hepaticoenterostomy, but there can be complications such as postoperative intrahepatic stones and recurrent cholangitis due to a stricture at the site of the anastomosis. Endoscopic and fluoroscopy-guided radiologic interventions can be applied to resolve the anastomotic stricture, and re-operation is possible as the method of last resort. We report here a first case, trial magnet compression anastomosis in Korea of a bilioenteric anastomotic stricture after excision of a choledochal cyst and hepaticojejunostomy.
Keywords
Choledochal cyst; Magnet compression anastomosis;
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1 Miyano T, Yamataka A, Kato Y, et al. Hepaticoenterostomy after excision of choledochal cyst in children: a 30-year experience with 180 cases. J Pediatr Surg 1996;31:1417-1421.   DOI   ScienceOn
2 Avaliani M, Chigogidze N, Nechipai A, Dolgushin B. Magnetic compression biliary-enteric anastomosis for palliation of obstructive jaundice: initial clinical results. J Vasc Interv Radiol 2009;20:614-623.   DOI   ScienceOn
3 Cope C. Evaluation of compression cholecystogastric and cholecystojejunal anastomoses in swine after peroral and surgical introduction of magnet. J Vasc Interv Radiol 1995;6:546-552.   DOI   ScienceOn
4 Muraoka N, Uematsu H, Yamanouchi E, et al. Yamanouchi magnetic compression anasotmosis for bilioenteric anastomotic stricture after living-donor liver transplantation. J Vasc Interv Radiol 2005;16:1263-1267.   DOI   ScienceOn
5 Itoi T, Yamanouchi E, Ikeda T, et al. Magnetic compression anastomosis: a novel technique for canalization of severe hilar bile duct strictures. Endoscopy 2005;37:1248-1251.   DOI   ScienceOn
6 Yamanouchi E, Kumano R, Kobayashi K, et al. Treatment for bowel or biliary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its clinical evaluation. J Nippon Med Sch 2002;69:471-475.   DOI   ScienceOn
7 Okajima H, Kotera A, Takeichi T, et al. Magnet compression anastomosis for bile duct stenosis duct-to-duct biliary reconstruction in living donor transplantation. Liver Transpl 2005;11:473-475.   DOI   ScienceOn
8 Takao S, Matsuo Y, Shinchi H, et al. Magnetic compression anastomosis for benign obstruction of common bile duct. Endoscopy 2001;33:988-990.   DOI   ScienceOn
9 Chijiiwa K, Koga A. Surgical management and long-term follow up of patients with choledochal cysts. Am J Surg 1993;165:238-242.   DOI   ScienceOn
10 Nagorney DM, McIlrath DC, Adson MA. Choledochal cysts in adults: clinical management. Surgery 1984;96:656-663.
11 Wiseman K, Buczkowski AK, Chung SW, Francoeur J, Schaeffer D, Scudamore CH. Epidemiology, presentation, diagnosis, outcome of choledochal cysts in adults in an urban environment. Am J Surg 2005;189:527-531.   DOI   ScienceOn
12 Weyant MJ, Maluccio MA, Bertagnolli MM, Daly JM. Choledochal cysts in adults: a report of two cases and review of the literature. Am J Gastroenterol 1998;93:2580-2583.
13 Voyles CR, Smadja C, Shands WC, Blumgart LH. Carcinoma in choledochal cysts. Age related incidence. Arch Surg 1983;118:986-988.   DOI   ScienceOn
14 Song HK, Kim MH, Myung SJ, et al. Choledochal cyst associated the with anomalous union of pancreaticobiliary duct (AUPBD) has a more grave clinical course than choledochal cyst alone. Korean J Intern Med 1999;14:1-8.
15 Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cyst: classification, operative procedures and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg 1977;134:263-269.   DOI   ScienceOn
16 Kim JH, Choi TY, Han JH, et al. Risk factors of postoperative anastomotic stricture after excision of choledochal cysts with hepaticojejunostomy. J Gastrointest Surg 2008;12:822-828.   DOI   ScienceOn