Ünal Emre, Çiftçi Türkmen Turan, Akinci Devrim, Parlak Erkan
Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Department of Gastroenterology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Insights Imaging. 2024 May 31;15(1):128. doi: 10.1186/s13244-024-01705-9.
Obstructions encountered in biliary, gastrointestinal, and urinary tracts are increasing in number due to successful percutaneous and endoscopic organ-saving procedures. Although functional recovery is established to an extent, failure of traversing an obstruction may end up necessitating invasive surgical procedures. Multidisciplinary collaboration may traverse the limitations of each individual approach, therefore creating the perfect intervention for the patient. Magnetic compression anastomosis is a minimally invasive procedure that can provide a great outcome in select cases with biliary, gastrointestinal, or urinary tract obstructions. CRITICAL RELEVANCE STATEMENT: In this article, various applications of magnetic compression anastomosis are reviewed with illustrative cases of esophageal, biliary, colonic, and urinary obstructions that cannot be traversed with a wire. This method will expand the spectrum of interventions performed in the IR unit. KEY POINTS: Magnets can enable wire access beyond an impassable obstruction. Magnets can create anatomical and non-anatomical anastomosis at an occlusion. Magnetic compression anastomosis is a minimally invasive procedure that can provide great outcomes.
由于成功实施了经皮和内镜下的器官保留手术，胆道、胃肠道和泌尿道中遇到的梗阻数量正在增加。尽管在一定程度上已实现功能恢复，但未能通过梗阻可能最终需要进行侵入性外科手术。多学科协作可能会突破每种单独方法的局限性，从而为患者创造出完美的干预方案。磁性压缩吻合术是一种微创手术，在某些胆道、胃肠道或泌尿道梗阻病例中可取得良好效果。关键相关性声明：在本文中，回顾了磁性压缩吻合术的各种应用，并列举了无法通过导丝穿过的食管、胆道、结肠和泌尿道梗阻的病例。这种方法将扩大介入放射科所实施的干预范围。要点：磁体可使导丝通过无法逾越的梗阻。磁体可在闭塞处形成解剖学和非解剖学吻合。磁性压缩吻合术是一种微创手术，可取得良好效果。
