Ankara City Hospital, Department of Gastroenterology and Hepatology, Ankara, Turkey.
Amasya University, Faculty of Medicine, Department of Gastroenterology, Amasya, Turkey.
Acta Gastroenterol Belg. 2022 Apr-Jun;85(2):393-395. doi: 10.51821/85.2.8436.
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.
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.
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.
完全性食管梗阻（CEO）是一种罕见的疾病，其治疗方案具有挑战性。手术是主要的治疗方法，但具有较高的发病率和死亡率。磁压迫吻合术（MCA）是一种新开发的技术，旨在恢复胃肠道和胆道的管腔通畅性。然而，MCA 在食管狭窄方面的经验有限。
我们报告了一位 26 岁的患者，他患有 CEO。通过口腔和逆行（通过胃造口途径）途径将磁铁插入到梗阻区域的两侧。第 8 天，磁铁粘在一起，并通过口腔途径经内镜取出。随后，进行了球囊扩张和曲安奈德注射治疗。治疗过程后，患者吞咽困难的症状得到缓解。
总之，MCA 是一种可用于恢复食管狭窄管腔通畅性的替代技术，也可避免手术干预的并发症。
