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
1
Lammer J, Neumayer K, Steiner H.
Biliary endoprosthesis in tumors at the hepatic duct bifurcation.
Eur J Radiol.
1986;
6
275-279
2
Devière J, Baize M, de Toeuf J, Cremer M.
Long-term follow-up of patients with hilar malignant stricture treated by endoscopic internal biliary drainage.
Gastrointest Endosc.
1988;
34
95-101
3
Polydorou A A, Cairns S R, Dowsett J F. et al .
Palliation of proximal malignant biliary obstruction by endoscopic endoprosthesis insertion.
Gut.
1991;
32
685-689
4
Dowsett J F, Vaira D, Hatfield A RW. et al .
Endoscopic biliary therapy using the combined percutaneous and endoscopic technique.
Gastroenterology.
1989;
96
1180-1186
5
Yamanouchi E, Kawaguchi H, Endo I. et al .
A new interventional method of anastomosis with magnets: magnetic compression anastomosis in five clinical cases [abstract].
Radiology.
1998;
209
567
7
Minuro A, Tsuchida A, Yamanouchi E. et al .
A novel technique of magnetic compression anastomosis for severe biliary stenosis.
Gastrointest Endosc.
2003;
58
283-287
