Treatment of an 8-year-old patient with total biliary obstruction in Roux-Y hepaticojejunostomy anastomosis with magnetic compression anastomosis technique using a colonoscope

Abstract Text An 8-year-old girl with a history of hepaticojejunostomy (HJ) due to a choledochal cyst was consulted with total biliary obstruction at the anastomosis. The patient was followed with an external percutaneous biliary catheter. Via oral route, a colonoscope was carried to the HJ area. Magnetic compression anastomosis technique was performed with Nickel-coated cylindrical neodymium iron boron rare-earth magnets 2.5 mm in diameter. Magnets were applied both percutaneously and endoscopically. After 72 hours, magnets were seen to be coupled. The coupled magnets were extracted endoscopically. The patient became catheter free after serial dilatations of the newly formed biliary passage percutaneously. [1] [2] [3] [4] [5]