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Lumen reconstruction with magnetic compression anastomosis technique in a patient with complete esophageal stricture

Journal Volume 85 - 2022
Issue Fasc.2 - Case reports
Author(s) B. Ödemiş 1, B. Başpinar 1, M.B. Durak 1, O. Coşkun 2, S. Torun 3
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Full Article
PAGES 393-395
(1) Ankara City Hospital, Department of Gastroenterology and Hepatology, Ankara, Turkey
(2) Amasya University, Faculty of Medicine, Department of Gastroenterology, Amasya, Turkey
(3) Düzce University, Faculty of Medicine, Department of Gastroenterology, Düzce, Turkey

Background: Complete esophageal obstruction (CEO) is a rare condition of which treatment options are challenging. Surgery is the main treatment with high morbidity and mortality rates. Magnetic compression anastomosis (MCA) is a novel technique developed to restore lumen patency in gastrointestinal and biliary tracts. However, MCA experience is limited in respect of esophageal strictures.

Case Report: We present a 26-year-old patient having CEO. Magnets are inserted endoscopically to both sides of the obstructed area via oral and retrograde (through the gastrostomy tract) route. On day 8, magnets stuck together and were removed endoscopically through the oral route. Subsequently, sessions of balloon dilatations and triamcinolone injection were performed. The patient’s complaint of aphagia resolved after the treatment process.

Conclusion: In conclusion, MCA is an alternative technique that can be used to restore lumen patency in esophageal strictures and also avoids complications of surgical interventions.

Keywords: esophageal dysphagia, esophageal stricture, magnetic compression anastomosis.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 35709784