Magnetic Compression Anastomosis Is a Good Treatment Option for Patients with Completely Obstructed Benign Biliary Strictures: A Case Series Study

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dc.authorwosidBaşpınar, Batuhan/ADS-9803-2022
dc.contributor.authorÖdemiş, Bülent
dc.contributor.authorBaşpınar, Batuhan
dc.contributor.authorTola, Muharrem
dc.contributor.authorTorun, Serkan
dc.date.accessioned2023-07-26T11:54:45Z
dc.date.available2023-07-26T11:54:45Z
dc.date.issued2022
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractBackground Completely obstructed benign biliary strictures (BBS) is a difficult-to-treat condition. Surgery is the main treatment modality with high morbidity and mortality. Recently, the magnetic compression anastomosis (MCA) technique was employed in such cases with low complication rates. Aims To evaluate the effectiveness of the MCA in completely obstructed BBS. Methods 21 MCA procedures were performed in 19 patients with completely obstructed BBS. All patients had percutaneous biliary access. Magnets were located to the proximal side of the obstruction via percutaneous biliary sheath and the distal side endoscopically. The procedure was terminated as the magnets attracted. Either self-expandable fully covered metallic stent and/or a growing number of plastic stents were introduced after recanalization was achieved. Result A total number of 19 patients with completely obstructed BBS resulting from cholecystectomy or liver transplant underwent 21 MCA procedures. Among those, 19 (90.5%) interventions were successful. The median stricture length that had been measured after magnet attraction was 4 mm (range 1-10 mm). The median magnet coupling time in successful cases was 9 days (range 4-27 days). No correlation was found between magnet coupling time and stricture length (p = 0.27). Complications were observed in 6 (cholangitis:1, magnet migration:2, magnet entrapment:3) of 19 successful MCA procedures. Fifteen of the 19 successful procedures had at least a period of stent-free follow-up. Recurrence of stenosis occurred in 7 procedures, of which 4 remained stent-free with retreatment. Eventually, 12 procedures had stent-free last status. Conclusions MCA is an effective and safe treatment option in completely obstructed BBS. Further studies are required for procedural standardization.en_US
dc.identifier.doi10.1007/s10620-022-07381-3
dc.identifier.endpage4918en_US
dc.identifier.issn0163-2116
dc.identifier.issn1573-2568
dc.identifier.issue10en_US
dc.identifier.pmid35050430en_US
dc.identifier.scopus2-s2.0-85123120335en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage4906en_US
dc.identifier.urihttps://doi.org/10.1007/s10620-022-07381-3
dc.identifier.urihttps://hdl.handle.net/20.500.12684/12914
dc.identifier.volume67en_US
dc.identifier.wosWOS:000744857400001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorTorun, Serkan
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofDigestive Diseases and Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectBiliary Tract Diseases; Magnets; Extrahepatic Biliary Stasis; Surgical Anastomosis; Cholestasisen_US
dc.subjectBile-Duct Stenosis; Liver-Transplantation; Current Diagnosis; Managementen_US
dc.titleMagnetic Compression Anastomosis Is a Good Treatment Option for Patients with Completely Obstructed Benign Biliary Strictures: A Case Series Studyen_US
dc.typeArticleen_US

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