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Obesity Surgery

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01-04-2015 | Original Contributions

Ileal Food Diversion: a Simple, Powerful and Easily Revisable and Reversible Single-Anastomosis Gastric Bypass

Authors: Francesco Greco, Roberto Tacchino

Published in: Obesity Surgery | Issue 4/2015

Abstract

Background

Malabsorptive interventions are recognized as procedure of choice in metabolic surgery and the best strategy for re-do surgery when restriction failed. We describe a novel procedure, the ileal food diversion, an easy and effective non-restrictive one-anastomosis gastric bypass.

Methods

We report the preliminary results of a series of 68 consecutive patients performed by two surgeons in two different hospitals since 2009 (49 females, 13 re-do surgeries).

Results

Mean operating time was 65 min. All operations were performed by laparoscopy (three-trocar technique in 44 cases and 24 single-incision laparoscopies). Median follow-up is 9.6 months (range 2–48). Diabetes resolution was accomplished in 80 % of patients. Average BMI decreases from 44 to 27 after 24 months.

Conclusions

Ileal food diversion is an interesting option in super-obese patients, re-do surgery and patients with metabolic syndrome. Technical considerations, physiological assumptions and rationale were discussed.

Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36. doi:10.1007/s11695-012-0864-0.CrossRefPubMed

Elnahas A, Graybiel K, Farrokhyar F, et al. Revisional surgery after failed laparoscopic adjustable gastric banding: a systematic review. Surg Endosc. 2013;27(3):740–5. doi:10.1007/s00464-012-2510-2.CrossRefPubMed

Patel S, Eckstein J, Acholonu E, et al. Reasons and outcomes of laparoscopic revisional surgery after laparoscopic adjustable gastric banding for morbid obesity. Surg Obes Relat Dis. 2010;6(4):391–8. doi:10.1016/j.soard.2009.12.010.CrossRefPubMed

Patel S, Szomstein S, Rosenthal RJ. Reasons and outcomes of reoperative bariatric surgery for failed and complicated procedures (excluding adjustable gastric banding). Obes Surg. 2011;21(8):1209–19. doi:10.1007/s11695-010-0234-8.CrossRefPubMed

García-Caballero M, Carbajo M. One anastomosis gastric bypass: a simple, safe and efficient surgical procedure for treating morbid obesity. Nutr Hosp. 2004;19(6):372–5.PubMed

Rutledge R. Similarity of Magenstrasse-and-Mill and mini-gastric bypass. Obes Surg. 2003;13(2):318.CrossRefPubMed

Santoro S, Malzoni CE, Velhote MC, et al. Digestive adaptation with intestinal reserve: a neuroendocrine-based operation for morbid obesity. Obes Surg. 2006;16(10):1371–9.CrossRefPubMed

Scopinaro N. Thirty-five years of biliopancreatic diversion: notes on gastrointestinal physiology to complete the published information useful for a better understanding and clinical use of the operation. Obes Surg. 2012;22(3):427–32. doi:10.1007/s11695-011-0554-3.CrossRefPubMed

Gray H. Anatomy of the human body (1918).

10.

Scopinaro N, Adami GF, Papadia FS, et al. Effects of biliopancreatic diversion on type 2 diabetes in patients with BMI 25 to 35. Ann Surg. 2011;253(4):699–703. doi:10.1097/SLA.0b013e318203ae44.CrossRefPubMed

11.

Talebpour M, Motamedi SM, Talebpour A, et al. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012;6(1):7. doi:10.1186/1750-1164-6-7.CrossRefPubMedCentralPubMed

12.

Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy—further procedure? Obes Facts. 2011;4 Suppl 1:42–6. doi:10.1159/000327343.PubMed

13.

Moszkowicz D, Rau C, Guenzi M, et al. Laparoscopic omega-loop gastric bypass for the conversion of failed sleeve gastrectomy: early experience. J Visc Surg. 2013;150(6):373–8. doi:10.1016/j.jviscsurg.2013.08.010.CrossRefPubMed

14.

Cariani S, Vittimberga G, Grani S, et al. A functional Roux-en-Y gastric bypass to avoid gastric exclusion: 1-year results. Obes Surg. 2003;13(5):788–91.CrossRefPubMed

15.

Rutledge R. Revision of failed gastric banding to mini-gastric bypass. Obes Surg. 2006;16(4):521–3.CrossRefPubMed

Title: Ileal Food Diversion: a Simple, Powerful and Easily Revisable and Reversible Single-Anastomosis Gastric Bypass
Authors: Francesco Greco
Roberto Tacchino
Publication date: 01-04-2015
Publisher: Springer US
Published in: Obesity Surgery / Issue 4/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-014-1436-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ileal Food Diversion: a Simple, Powerful and Easily Revisable and Reversible Single-Anastomosis Gastric Bypass

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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