Recanalization of refractory benign biliary stricture using magnetic compression anastomosis

Sung Ill Jang, Kwangwon Rhee, Haewon Kim, Yong Hoon Kim, Jieun Yun, Kwang Hun Lee, Seungmin Bang, Jae Bok Chung, DongKi Lee

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background and study aims: Endoscopic or percutaneous treatments are preferentially attempted for benign biliary stricture (BBS). However, these methods are not feasible if a guide wire cannot be passed through the stricture. This study evaluated the usefulness and technical requirements of magnetic compression anastomosis (MCA) in refractory BBS.  Patients and methods: MCA was performed in patients with BBS that had not been resolved with conventional treatments. One magnet was delivered through the percutaneous transhepatic biliary drainage tract and the other magnet was advanced through three different routes. After magnet approximation and recanalization, an internal drainage catheter was placed for 6 months and then removed. Results: Seven patients underwent MCA, and recanalization was successfully achieved in five. MCA failure in two cases was attributed to long stenotic segments and parallel alignment of the axes of the magnets. The mean follow-up period after recanalization was 485.2 days. Five patients with successful recanalization showed no MCA-related complications or restenosis. Conclusions: MCA represents an alternative nonsurgical method of BBS recanalization that cannot be treated with conventional methods.

Original languageEnglish
Pages (from-to)70-74
Number of pages5
JournalEndoscopy
Volume46
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

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Magnets
Pathologic Constriction
Drainage
Biliary Tract
Catheters
Therapeutics

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Jang, Sung Ill ; Rhee, Kwangwon ; Kim, Haewon ; Kim, Yong Hoon ; Yun, Jieun ; Lee, Kwang Hun ; Bang, Seungmin ; Chung, Jae Bok ; Lee, DongKi. / Recanalization of refractory benign biliary stricture using magnetic compression anastomosis. In: Endoscopy. 2014 ; Vol. 46, No. 1. pp. 70-74.
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Jang, SI, Rhee, K, Kim, H, Kim, YH, Yun, J, Lee, KH, Bang, S, Chung, JB & Lee, D 2014, 'Recanalization of refractory benign biliary stricture using magnetic compression anastomosis', Endoscopy, vol. 46, no. 1, pp. 70-74. https://doi.org/10.1055/s-0033-1358907

Recanalization of refractory benign biliary stricture using magnetic compression anastomosis. / Jang, Sung Ill; Rhee, Kwangwon; Kim, Haewon; Kim, Yong Hoon; Yun, Jieun; Lee, Kwang Hun; Bang, Seungmin; Chung, Jae Bok; Lee, DongKi.

In: Endoscopy, Vol. 46, No. 1, 01.01.2014, p. 70-74.

Research output: Contribution to journalArticle

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AU - Rhee, Kwangwon

AU - Kim, Haewon

AU - Kim, Yong Hoon

AU - Yun, Jieun

AU - Lee, Kwang Hun

AU - Bang, Seungmin

AU - Chung, Jae Bok

AU - Lee, DongKi

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