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Magnetic compression anastomosis for treatment of benign biliary stricture

Authors
 Sung Ill Jang  ;  Jungran Choi  ;  Dong Ki Lee 
Citation
 Digestive Endoscopy, Vol.27(2) : 239-249, 2015 
Journal Title
 Digestive Endoscopy 
ISSN
 0915-5635 
Issue Date
2015
Abstract
Endoscopic and percutaneous procedures have shown high success rates when used to treat benign biliary stricture. However, cases in which a guidewire cannot be passed through a refractory stricture or a complete obstruction are difficult to treat using conventional methods. Magnetic compression anastomosis (MCA) has emerged as a non-surgical alternative avoiding operational mortality and morbidity. The feasibility and safety of MCA have been experimentally and clinically verified in cases of biliobiliary and bilioenteric anastomosis. However, no pre-MCA assessment modality capable of predicting outcomes is as yet available, and no universally effective magnet delivery method has as yet been established, rendering it difficult to identify patients for whom MCA is appropriate. Various experimental studies seeking to overcome these limitations are underway. Such work will improve our in-depth understanding of MCA, which has been trialed in various fields. Upon further development, MCA may become a ground-breaking option for treatment of benign strictures that are difficult to resolve using conventional methods, and MCA may be expected to be minimally traumatic and highly effective. The aim of the present study was to discuss the current status of MCA and the direction of MCA development by reviewing clinical and experimental MCA data.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/den.12319/abstract
DOI
10.1111/den.12319
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
이동기(Lee, Dong Ki) ORCID logo https://orcid.org/0000-0002-0048-9112
장성일(Jang, Sung Ill) ORCID logo https://orcid.org/0000-0003-4937-6167
최정란(Choi, Jung Ran)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139314
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