An Anastomotic Obstruction That Developed after Laparoscopic Total Gastrectomy, Subsequently Treated with Magnetic Compression Anastomosis

DOI Web Site 2 Citations 6 References Open Access
  • Ito Eisaku
    Department of Surgery, International University of Health and Welfare Hospital
  • Ohdaira Hironori
    Department of Surgery, International University of Health and Welfare Hospital
  • Saito Nobuhiro
    Department of Surgery, International University of Health and Welfare Hospital
  • Ryu Shunjin
    Department of Surgery, International University of Health and Welfare Hospital
  • Tsutsui Nobuhiro
    Department of Surgery, International University of Health and Welfare Hospital
  • Yoshida Masashi
    Department of Surgery, International University of Health and Welfare Hospital
  • Yanagisawa Satoru
    Department of Surgery, International University of Health and Welfare Hospital
  • Yamanouchi Eigoro
    Department of Radiology, International University of Health and Welfare Hospital
  • Suzuki Yutaka
    Department of Surgery, International University of Health and Welfare Hospital

Bibliographic Information

Other Title
  • 磁石圧迫吻合術（山内法）で治療した腹腔鏡補助下胃全摘後，食道空腸機能的端々吻合部屈曲の1例

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<p>A 53-year old woman underwent laparoscopic total gastrectomy to treat gastric cancer. Roux-en-Y reconstruction was performed with functional end-to-end anastomosis (FEEA). Endoscopic treatment was repeated after obstruction due to kinking at the anastomosis site developed postoperatively. The treatment proved ineffective, however, and at one postoperative year the patient underwent magnetic compression anastomosis (Yamanouchi method). After the magnetic compression anastomosis, the patient was able to eat a sufficient amount. The causes of the patient’s anastomotic kink were inferred to involve the migration of the anastomotic site to the mediastinal space, adhesion between the anastomotic staple and the jejunum, and shrinkage of the esophagus after surgery. Magnetic compression anastomosis is a fistula-creating technique that uses two magnets to sandwich the luminal organ causing tissue necrosis. In our case, the anastomotic site was located in the mediastinal space and re-anastomotic surgery was considered difficult. This was a good indicator for magnetic compression anastomosis because the target organs were very close together, making them feasible to sandwich with magnets.</p>

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