A Case of Magnetic Compression Anastomosis with Double-balloon Enteroscopy for Biliary Obstruction after Living Donor Liver Translationn

Abstract

Biliary anastomotic strictures are one of the most significant postoperative complications after living donor liver transplantations (LDLT), which develop in about 10-30% of recipients. Various modalities have been reported to treat these complications with an acceptable success rate. Herein, we present a case of complete anastomotic obstruction of hepaticojejunostomy, for which a successful magnetic compression anastomosis (MCA) was performed. The patient was a 56-year-old man who was given a diagnosis of biliary anastomotic strictures 9 months after LDLT. Conservative treatment, including percutaneous transhepatic biliary drainage (PTBD), was initially undertaken, however, recanalization of the bile duct anastomosis could not be obtained. An MCA was performed 3 months after the initial PTBD, which resulted in a success. In conclusion, MCA is a safe and very effective method to treat complete anastomotic strictures after LDLT.