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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. 4. — Magnetic compression anastomosis for a post-cholecystectomy stricture. (A) Common hepatic duct stricture that occurred after laparoscopic cholecystectomy. (B) One magnet was moved through the percutaneous transhepatic biliary drainage (PTBD) tract, and a second magnet was delivered via the common bile duct using a duodenoscope. Magnet approximation was successful but the distance between two magnets was long. However, the two magnets moved closer to each other because of magnetic power, and magnet approximation was successful. (C) The approximated magnets were removed using percutaneous transhepatic cholangioscopy via the PTBD tract and endoscopic retrograde cholangiopancreatography scope. (D) Cholangiogram showing the recanalized tract after magnet removal. (E) A retrievable, fully covered self-expandable metal stent (FCSEMS) was inserted for 6 months (exchanging every 3 months). (F) Finally, formation of a new fistula was confirmed after the removal of the indwelling FCSEMS. The bottom right color photograph shows the removed FCSEMS.