抄録
An 83-year-old female admitted our hospital due to the occlusive ileus. An abdominal ultrasound and CT scan revealed the tumor at the hepatic flexure of the colon. Colonoscopy revealed the stenosis due to the tumor preventing the colonoscope passing through the lesion. Surgical operation was not indicated due to the insufficient cardiovascular function as well as dementia, while magnetic compression anastomosis was indicated. The first magnet was placed in the duodenum endoscopically. After it was confirmed by X-ray that the first magnet had moved in the ascending colon, which was the oral side of the tumor, the second one was placed endoscopically in the right side of the transverse colon, which was the anal side of the tumor. The two magnets attached the walls of both colons. Three weeks after the maneuver, the fistula between the ascending and the transverse colon was confirmed endoscopically. She started to eat and discharged safely.
This maneuver is a quite useful method for the patients with the occulusive ileus under poor general condition for surgical operations to enable them to have meals orally and without the stoma.
