Korean J Gastroenterol.  2021 Jul;78(1):65-68. 10.4166/kjg.2021.083.

Magnetic Compression Anastomosis for Treatment of Right Intrahepatic Bile Duct Injury After Cholecystectomy

• Do MY
• Cho JH
• Jang SI
• Lee DK

• KMID: 2518758
• DOI: http://doi.org/10.4166/kjg.2021.083

Figure

• 

  Fig. 1 Magnetic resonance cholangiopancreatography (MRCP). In MRCP, there was an iatrogenic obstruction of the Rt. distal intrahepatic duct (IHD) by a surgical clip with an underlying congenital variation of low insertion of Rt. IHD to the extrahepatic duct.

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  Fig. 2 Magnetic compression anastomosis (MCA) procedure. (A) The cholangiogram showed that the Rt. intrahepatic duct was separated from the common bile duct after laparoscopic cholecystectomy. (B) One magnet was delivered through the percutaneous transhepatic biliary drainage tract, and the other magnet was advanced through the common bile duct. (C) After 6 weeks, the magnets were approximated via two delivery tracts. (D) The approximated magnets were removed. A guidewire was able to pass the stricture site. (E) A fully covered self-expandable metallic stent was inserted at the recanalized site and exchanged every 3 months intervals for 6 months. (F) The formation of a new fistula was confirmed after removing the metallic stent.

Reference

1. Dadhwal US, Kumar V. 2012; Benign bile duct strictures. Med J Armed Forces India. 68:299–303. DOI: 10.1016/j.mjafi.2012.04.014. PMID: 24532893. PMCID: PMC3862965.

2. Nuzzo G, Giuliante F, Persiani R. 2004; The risk of biliary ductal injury during laparoscopic cholecystectomy. J Chir (Paris). 141:343–353. DOI: 10.1016/S0021-7697(04)95358-6.

3. Draganov P, Hoffman B, Marsh W, Cotton P, Cunningham J. 2002; Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents. Gastrointest Endosc. 55:680–686. DOI: 10.1067/mge.2002.122955. PMID: 11979250.

4. Weber A, Zellner S, Wagenpfeil S, et al. 2014; Long-term follow-up after endoscopic stent therapy for benign biliary strictures. J Clin Gastroenterol. 48:88–93. DOI: 10.1097/MCG.0b013e3182972eab. PMID: 23751855.

5. Laasch HU, Martin DF. 2002; Management of benign biliary strictures. Cardiovasc Intervent Radiol. 25:457–466. DOI: 10.1007/s00270-002-1888-y. PMID: 12391514.

6. Yamanouchi E, Kumano R, Kobayashi K, et al. 2002; Treatment for bowel or biliary obstruction by magnetic compression anastomosis development of Yamanouchi's method and its clinical evaluation. J Nippon Med Sch. 69:471–475. DOI: 10.1272/jnms.69.471. PMID: 12382010.

7. Takao S, Matsuo Y, Shinchi H, et al. 2001; Magnetic compression anastomosis for benign obstruction of the common bile duct. Endoscopy. 33:988–990. DOI: 10.1055/s-2001-17923. PMID: 11668410.

8. Muraoka N, Uematsu H, Yamanouchi E, et al. 2005; Yamanouchi magnetic compression anastomosis for bilioenteric anastomotic stricture after living-donor liver transplantation. J Vasc Interv Radiol. 16:1263–1267. DOI: 10.1097/01.RVI.0000173280.56442.9E. PMID: 16151070.

9. Mimuro A, Tsuchida A, Yamanouchi E, et al. 2003; A novel technique of magnetic compression anastomosis for severe biliary stenosis. Gastrointest Endosc. 58:283–287. DOI: 10.1067/mge.2003.354. PMID: 12872106.

10. Akita H, Hikita H, Yamanouchi E, et al. 2008; Use of a metallic-wall stent in the magnet compression anastomosis technique for bile duct obstruction after liver transplantation. Liver Transpl. 14:118–120. DOI: 10.1002/lt.21273. PMID: 18161766.

11. Matsuno N, Uchiyama M, Nakamura Y, et al. 2009; A nonsuture anastomosis using magnetic compression for biliary stricture after living donor liver transplantation. Hepatogastroenterology. 56:47–49.

12. Itoi T, Yamanouchi E, Ikeuchi N, Kasuya K, Iwamoto H, Tsuchida A. 2010; Magnetic compression duct-to-duct anastomosis for biliary obstruction in a patient with living donor liver transplantation. Gut Liver. 4 Suppl 1:S96–S98. DOI: 10.5009/gnl.2010.4.S1.S96. PMID: 21103303. PMCID: PMC2989546.

13. Itoi T, Kasuya K, Sofuni A, et al. 2011; Magnetic compression anastomosis for biliary obstruction: review and experience at Tokyo Medical University Hospital. J Hepatobiliary Pancreat Sci. 18:357–365. DOI: 10.1007/s00534-010-0350-9. PMID: 21127913.

14. Lambe T, Ríordáin MG, Cahill RA, Cantillon-Murphy P. 2014; Magnetic compression in gastrointestinal and bilioenteric anastomosis: how much force? Surg Innov. 21:65–73. DOI: 10.1177/1553350613484824. PMID: 23592733.

15. Jang SI, Choi J, Lee DK. 2015; Magnetic compression anastomosis for treatment of benign biliary stricture. Dig Endosc. 27:239–249. DOI: 10.1111/den.12319. PMID: 24905938.

16. Jang SI, Lee KH, Yoon HJ, Lee DK. 2017; Treatment of completely obstructed benign biliary strictures with magnetic compression anastomosis: follow-up results after recanalization. Gastrointest Endosc. 85:1057–1066. DOI: 10.1016/j.gie.2016.08.047. PMID: 27619787.

17. Jang SI, Rhee K, Kim H, et al. 2014; Recanalization of refractory benign biliary stricture using magnetic compression anastomosis. Endoscopy. 46:70–74. DOI: 10.1055/s-0033-1358907. PMID: 24254385.