Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 12, Number 6, December 2019, pages 320-323

Endoscopic Gastrojejunostomy for Superior Mesenteric Artery Syndrome Using Magnetic Compression Anastomosis

Figures

Figure 1.
Figure 1. Abdominal CT revealed dilatation of the duodenum up to the level of the distal third portion, which was sandwiched between the aorta and SMA (arrow). CT: computed tomography.
Figure 2.
Figure 2. The duodenal stricture was dilated up to 16.5 cm using a dilating balloon in front of the magnet (a). The magnets were attracted towards each other transmurally between the stomach and duodenojejunal junction after one more flat plate-shaped magnet was added to the gastric-side magnet (b).
Figure 3.
Figure 3. The completion of gastrojejunostomy was confirmed after retrieving the magnets (arrows) (a, b).
Figure 4.
Figure 4. Slight anastomotic stricture was confirmed endoscopically 1 month after canalization.