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Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis
An 89-year-old woman who was bedridden suffered repeated vomiting due to superior mesenteric artery syndrome (SMAS). We performed gastrojejunostomy via the magnetic compression anastomosis (MCA) technique because her situation was not improved by conservative therapy and because the operative risk w...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6879032/ https://www.ncbi.nlm.nih.gov/pubmed/31803313 http://dx.doi.org/10.14740/gr1229 |
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author | Kawabata, Hideaki Sone, Daiki Yamaguchi, Katsutoshi Inoue, Naonori Okazaki, Yuji Ueda, Yuki Hitomi, Misuzu Miyata, Masatoshi Motoi, Shigehiro |
author_facet | Kawabata, Hideaki Sone, Daiki Yamaguchi, Katsutoshi Inoue, Naonori Okazaki, Yuji Ueda, Yuki Hitomi, Misuzu Miyata, Masatoshi Motoi, Shigehiro |
author_sort | Kawabata, Hideaki |
collection | PubMed |
description | An 89-year-old woman who was bedridden suffered repeated vomiting due to superior mesenteric artery syndrome (SMAS). We performed gastrojejunostomy via the magnetic compression anastomosis (MCA) technique because her situation was not improved by conservative therapy and because the operative risk was high. We prepared two neodymium magnets: a flat plate-shaped magnet (15 × 3 mm) and a ring-shaped magnet of the same size. The ring-shaped magnet which passed through a guidewire was pushed to the duodenum by an endoscope over the guidewire. The duodenal stricture was balloon-dilated in front of the magnet, and the magnet was pushed all together beyond the stricture and placed at the duodenojejunal junction. Subsequently, the flat plate-shaped magnet was delivered endoscopically to the stomach using a biopsy forceps. The magnets were attracted towards each other transmurally after one more flat plate-shaped magnet was added to the gastric-side magnet. Completion of gastrojejunostomy was confirmed while retrieving the magnets 10 days after starting compression. She has been asymptomatic for 1 month since anastomosis. Endoscopic gastrojejunostomy using MCA was an effective, low-invasive treatment for SMAS. |
format | Online Article Text |
id | pubmed-6879032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-68790322019-12-05 Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis Kawabata, Hideaki Sone, Daiki Yamaguchi, Katsutoshi Inoue, Naonori Okazaki, Yuji Ueda, Yuki Hitomi, Misuzu Miyata, Masatoshi Motoi, Shigehiro Gastroenterology Res Case Report An 89-year-old woman who was bedridden suffered repeated vomiting due to superior mesenteric artery syndrome (SMAS). We performed gastrojejunostomy via the magnetic compression anastomosis (MCA) technique because her situation was not improved by conservative therapy and because the operative risk was high. We prepared two neodymium magnets: a flat plate-shaped magnet (15 × 3 mm) and a ring-shaped magnet of the same size. The ring-shaped magnet which passed through a guidewire was pushed to the duodenum by an endoscope over the guidewire. The duodenal stricture was balloon-dilated in front of the magnet, and the magnet was pushed all together beyond the stricture and placed at the duodenojejunal junction. Subsequently, the flat plate-shaped magnet was delivered endoscopically to the stomach using a biopsy forceps. The magnets were attracted towards each other transmurally after one more flat plate-shaped magnet was added to the gastric-side magnet. Completion of gastrojejunostomy was confirmed while retrieving the magnets 10 days after starting compression. She has been asymptomatic for 1 month since anastomosis. Endoscopic gastrojejunostomy using MCA was an effective, low-invasive treatment for SMAS. Elmer Press 2019-12 2019-11-21 /pmc/articles/PMC6879032/ /pubmed/31803313 http://dx.doi.org/10.14740/gr1229 Text en Copyright 2019, Kawabata et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kawabata, Hideaki Sone, Daiki Yamaguchi, Katsutoshi Inoue, Naonori Okazaki, Yuji Ueda, Yuki Hitomi, Misuzu Miyata, Masatoshi Motoi, Shigehiro Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis |
title | Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis |
title_full | Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis |
title_fullStr | Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis |
title_full_unstemmed | Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis |
title_short | Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis |
title_sort | endoscopic gastrojejunostomy for superior mesenteric artery syndrome using magnetic compression anastomosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6879032/ https://www.ncbi.nlm.nih.gov/pubmed/31803313 http://dx.doi.org/10.14740/gr1229 |
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