New minimal invasive intervention: Flexible endoscopic creation of magnetic compression anastomosis

Introduction: The palliative surgical treatment of gastric outlet obstruction caused by inoperable malignant (pancreatic-, bile duct-, distal stomach cancer) or benign diseases (pyloric stenosis, chronic pancreatitis) is creation of surgical gastro-jejunal anastomosis (GEA) to by-pass the stenotic duodenum. Beside traditional gastro-jejunostomy performed through a laparotomy there are minimal invasive techniques as well, just as laparoscopic GEA or implantation of self-expandable metal stents. Since the laparoscopic technique performed in narcosis, this procedure is stressful as well for the usually bad conditio…