A case of refractory ileus treated with a percutaneous transgastric ileus tube and magnetic compression anastomosis

Abstract

This report describes the case of a 67-year-old woman who developed refractory ileus of the small intestine. The patient had been taking steroidal medication and immunosuppressive agents for myasthenia gravis. She had previously undergone resection anastomosis for obstructive ascending colon cancer and had received a total of six surgeries for conditions such as dehiscence and anastomotic recurrence. The patient had repeatedly developed ileus of the small intestine, and a transnasal ileus tube had accordingly been placed. We diagnosed the patient with refractory ileus of the small intestine, and determined that repeat surgery would be difficult. We treated the condition successfully and painlessly through the placement of a percutaneous transgastric ileus tube and magnetic compression anastomosis of the small intestine and S-shaped colon (the Yamanouchi method) . Here, we report our observations along with a review of the literature.