12^th Global Gastroenterologists Meeting

Magnetic compression anastomosis (MCA) has been developed as a non-surgical alternative treatment for biliary obstruction without serious complications. A 70-year-old woman who had undergone pancreaticoduodenectomy with modified Child reconstruction for pancreatic head cancer suffered from refractory anasto-cutaneous fistula at the site of gastro-jejunostomy and obstructed choledocho-jejunostomy with no recurrent findings after the operation. We performed choledocho-jejunostomy using the MCA technique. The two magnets inserted into the obstruction of the hepatic side and of

the jejunal side were immediately attracted towards each other transmurally, and reanastomosis was confirmed 7 days after starting the compression. The magnets were retrieved and an indwelling drainage tube was placed. The internal tube was removed and a plastic stent is placed 1 year after reanastomosis and no MCA-related complications have been observed.