Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
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Case Report

Volume 12, Number 5, October 2019, pages 267-270

Experience of Endoscopic Jejunojejunostomy for Anastomotic Obstruction After Subtotal Gastrectomy Using Magnetic Compression Anastomosis

Figures

Figure 1.
Figure 1. (a) Enteroscopy revealed jejunal kinking at the efferent loop of the anastomosis without stricture or tumor recurrence. (b) Fluoroscopy via a nasogastric tube showed gastric stasis of the contrast medium at the anastomosis and gastroesophageal reflux.
Figure 2.
Figure 2. Each magnet was delivered endoscopically to the anal side of jejunal kinking, subsequently to the anastomosis, using biopsy forceps (a). The two magnets were immediately attracted towards each other transmurally (b, c).
Figure 3.
Figure 3. The completion of jejunojejunostomy and oozing hemorrhage from the anastomotic ulcer was confirmed after retrieving the magnets.
Figure 4.
Figure 4. The widely patent anastomosis was confirmed endoscopically 1 month after canalization.