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, re canalization 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.
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