Zhang MM, Gao Y, Ren XY, Sha HC, Lyu Y, Dong FF, Yan XP. Magnetic compression anastomosis for sigmoid stenosis treatment: A case report. World J Gastrointest Endosc 2023; 15(12): 745-750 [PMID: 38187917 DOI: 10.4253/wjge.v15.i12.745]
Corresponding Author of This Article
Xiao-Peng Yan, MD, PhD, Associate Research Scientist, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277 West Yanta Road, Xi'an 710061, Shaanxi Province, China. yanxiaopeng9966@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Dec 16, 2023; 15(12): 745-750 Published online Dec 16, 2023. doi: 10.4253/wjge.v15.i12.745
Magnetic compression anastomosis for sigmoid stenosis treatment: A case report
Miao-Miao Zhang, Yi Gao, Xiao-Yang Ren, Huan-Chen Sha, Yi Lyu, Fang-Fang Dong, Xiao-Peng Yan
Miao-Miao Zhang, Huan-Chen Sha, Yi Lyu, Fang-Fang Dong, Xiao-Peng Yan, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Miao-Miao Zhang, Yi Lyu, Xiao-Peng Yan, National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Yi Gao, Department of Gastrointestinal Surgery, Affiliated Hospital of Guilin Medical University, Guilin 541001, Guangxi Zhuang Autonomous Region, China
Xiao-Yang Ren, Department of Gastroenterology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Co-first authors: Miao-Miao Zhang and Yi Gao.
Co-corresponding authors: Xiao-Peng Yan and Yi Lyu.
Author contributions: Zhang MM and Gao Y contributed equally to this work and are the co-first author; Lyu Y and Yan XP designed the operational plan; Ren XY and Yan XP performed the endoscopic magnetic compression anastomosis; Dong FF assisted in patient care; Zhang MM and Gao Y wrote the manuscript; Zhang MM, Gao Y and Sha HC assisted in data collection and manuscript revision; all authors have read and approved the final manuscript.
Supported byThe Institutional Foundation of The First Affiliated Hospital of Xi’an Jiaotong University (Yan XP), No. 2022MS-07; The Fundamental Research Funds for the Central Universities (Zhang M), No. xzy022023068; The Science and Technology Plan Fund of the Science and Technology Department of Guangxi Zhuang Autonomous Region (Gao Y), No. 2021AC19043.
Informed consent statement: The patient and her husband have provided informed written consent for the publication of this case report.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Peng Yan, MD, PhD, Associate Research Scientist, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277 West Yanta Road, Xi'an 710061, Shaanxi Province, China. yanxiaopeng9966@163.com
Received: September 21, 2023 Peer-review started: September 21, 2023 First decision: October 24, 2023 Revised: October 30, 2023 Accepted: December 1, 2023 Article in press: December 1, 2023 Published online: December 16, 2023 Processing time: 84 Days and 20.8 Hours
Abstract
BACKGROUND
Endoscopic balloon dilation is a minimally invasive treatment for colorectal stenosis. Magnetic compression anastomosis can be applied against gastrointestinal anastomosis. When combined with endoscopy, it offers a unique approach to the recanalization of colorectal stenosis.
CASE SUMMARY
We have reported here the case of a 53-year-old female patient who underwent a descending colostomy due to sigmoid obstruction. Postoperative fistula restoration was not possible in her due to sigmoid stenosis. Accordingly, endoscopic-assisted magnetic compression anastomosis for sigmoid stenosis was performed, and the sigmoid stenosis was recanalized 15 d after the surgery. Subsequently, a reduction colostomy was successfully performed after 10 d.
CONCLUSION
This case report proposes a novel minimally invasive treatment approach for colorectal stenosis.
Core Tip: Colorectal stenosis is common in clinical practice, for which endoscopic treatment is the preferred choice; however, most patients require multiple balloon dilation or even stent placement. Clinicians should consider the novel approach of endoscopic magnetic compression anastomosis in applicable cases of colorectal stenosis.