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.
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Acknowledgments
The authors would like to thank Mervyn Deitel, MD, FASMBS, FACN, CRCSC, FICS (Editor-in-Chief Emeritus and Founding Editor of Obesity Surgery; Chief, Advisory Board, International Bariatric Club, Canada).
Conflict of Interest
The authors declare that they have no conflict of interest.
Statement of Informed Consent
Informed consent was obtained from all individual participants included in the study.
Statement of Human and Animal Rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Greco, F., Tacchino, R. Ileal Food Diversion: a Simple, Powerful and Easily Revisable and Reversible Single-Anastomosis Gastric Bypass. OBES SURG 25, 680–686 (2015). https://doi.org/10.1007/s11695-014-1436-2
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DOI: https://doi.org/10.1007/s11695-014-1436-2