Choledochal cyst, Magnet compression anastomosis"/> Magnet Compression Anastomosis for Bilioenteric Anastomotic Stricture after Removal of a Choledochal Cyst: A Case Report
Korean J Gastrointest Endosc > Volume 41(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(3): 180-184.
담관 낭종 절제 후 발생한 문합부 협착을 자석 압박 문합술로 치료한 1예
임현철ㆍ이동기ㆍ최홍규ㆍ정교태ㆍ이근만ㆍ장재훈ㆍ박준성*ㆍ원종윤
연세대학교 의과대학 내과학교실, *외과학교실, 영상의학교실
Magnet Compression Anastomosis for Bilioenteric Anastomotic Stricture after Removal of a Choledochal Cyst: A Case Report
Hyun Chul Lim, M.D., Dong Ki Lee, M.D., Hong Kyu Choi, M.D., Kyo Tae Jung, M.D., Keun Man Lee, M.D., Jae Hoon Jahng, M.D., Joon Sung Park, M.D.* and Jong Yun Won, M.D.
Departments of Internal Medicine, *Surgery and Radiology, Yonsei University College of Medicine, Korea
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. (Korean J Gastrointest Endosc 2010;41:180-184)
Key Words: Choledochal cyst, Magnet compression anastomosis
주요어: 자석 압박 문합술, 담관 낭종
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