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. 2020 May 29;53(3):266–275. doi: 10.5946/ce.2020.095

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Copyright © 2020 Korean Society of Gastrointestinal Endoscopy

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 3. — Magnetic compression anastomosis for a stricture after orthotopic donor liver transplantation. (A) A percutaneous transhepatic biliary drainage (PTBD) catheter was inserted and dilated to 16 Fr. (B) One magnet was delivered through the PTBD tract, and the other magnet was moved using an endoscopic retrograde cholangiopancreatography (ERCP) scope through the common bile duct. The approximation of magnets was successful and the PTBD catheter was inserted. (C) The approximated magnets were removed using percutaneous transhepatic cholangioscopy via the PTBD tract and ERCP scope. The bottom right color photograph shows the approximated magnets. (D) Cholangiogram showing the recanalized tract after magnet removal. (E) A retrievable, fully covered self-expandable metal stent was inserted for 6 months (exchanging every 3 months). (F) The recanalized fistula was formed widely, compared with the cholangiogram in (D).