Jang Sung Ill, Cho Jae Hee, Lee Dong Ki
Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Clin Endosc. 2020 May;53(3):266-275. doi: 10.5946/ce.2020.095. Epub 2020 May 29.
A number of different conditions can lead to a bile duct stricture. These strictures are particularly common after biliary operations, including living-donor liver transplantation. Endoscopic and percutaneous methods have high success rates in treating benign biliary strictures. However, these conventional methods are difficult to manage when a guidewire cannot be passed through areas of severe stenosis or complete obstruction. Magnetic compression anastomosis has emerged as an alternative nonsurgical treatment method to avoid the mortality and morbidity risks of reoperation. The feasibility and safety of magnetic compression anastomosis have been reported in several experimental and clinical studies in patients with biliobiliary and bilioenteric strictures. Magnetic compression anastomosis is a minimally traumatic and highly effective procedure, and represents a new paradigm for benign biliary strictures that are difficult to treat with conventional methods.
多种不同情况可导致胆管狭窄。这些狭窄在胆道手术后尤为常见，包括活体供肝肝移植。内镜和经皮方法在治疗良性胆管狭窄方面成功率较高。然而，当导丝无法通过严重狭窄或完全梗阻区域时，这些传统方法难以实施。磁压缩吻合术已成为一种替代性的非手术治疗方法，以避免再次手术的死亡率和发病率风险。多项针对胆管-胆管和胆管-肠吻合口狭窄患者的实验和临床研究已报道了磁压缩吻合术的可行性和安全性。磁压缩吻合术是一种微创且高效的手术，代表了传统方法难以治疗的良性胆管狭窄的一种新范例。
