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DOI: 10.1055/s-2005-870269
Magnetic Compression Anastomosis: A Novel Technique for Canalization of Severe Hilar Bile Duct Strictures
Publikationsverlauf
Submitted 10 February 2005
Accepted after revision 23 April 2005
Publikationsdatum:
05. Dezember 2005 (online)
![](https://www.thieme-connect.de/media/endoscopy/200512/lookinside/thumbnails/10.1055-s-2005-870269-1.jpg)
Introduction
Endoscopic drainage and/or percutaneous transhepatic biliary drainage (PTBD) is essential treatment for obstructive jaundice in patients with malignant hilar bile duct obstruction [1] [2] [3] [4]. On rare occasions, however, it proves impossible to canalize severe bile duct strictures using a combined endoscopic and percutaneous technique. Recently, Yamanouchi’s nonsurgical magnetic compression anastomosis (MCA) technique was developed to create a sutureless anastomosis between various hollow viscera in conjunction with an interventional radiological technique [5] [6] [7].
We encountered a patient with hilar bile duct carcinoma who had a severe hilar bile duct stricture which we were unable to canalize using either conventional endoscopic or interventional radiological techniques. This is the first case report of a successful choledochocholedochostomy in a patient with severe hilar bile duct stricture using the MCA technique.
References
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T. Itoi, M. D.
Fourth Department of Internal Medicine · Tokyo Medical University
6-7-1 Nishi-Shinjuku · Shinjuku-ku · Tokyo 160-0023 · Japan
Fax: +81-3-5381-6654
eMail: itoi@tokyo-med.ac.jp