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Endoscopy 2005; 37(12): 1248-1251
DOI: 10.1055/s-2005-870269
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Magnetic Compression Anastomosis: A Novel Technique for Canalization of Severe Hilar Bile Duct Strictures

T.  Itoi1 , E.  Yamanouchi2 , T.  Ikeda1 , A.  Sofuni1 , T.  Kurihara1 , T.  Tsuchiya1 , A.  Tsuchida3 , K.  Kasuya3 , F.  Moriyasu1
  • 1Fourth Department of Internal Medicine, Tokyo Medical University, Tokyo, Japan
  • 2Department of Radiology, Yokohama Seibu Hospital, St. Marianna University, Yokohama, Japan
  • 3Department of Surgery, Tokyo Medical University, Tokyo, Japan
Further Information

Publication History

Submitted 10 February 2005

Accepted after revision 23 April 2005

Publication Date:
05 December 2005 (online)

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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.

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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