Abstract
The Magenstrasse and Mill procedure (M&M procedure) was first performed in 1987 by David Johnston. The slightly unusual name of the procedure goes back to the anatomic and physiological peculiarities of the stomach. Back in 1908, Waldeyer named the lengthwise folds within the lesser curvature that carry liquid and food from the cardia down to the pylorus very quickly, “Magenstrasse” or gastric canal. Aschoff identified the magenstrasse as a preferred location for gastric ulcers. Studies later proved that orally ingested food and drink moves along the magenstrasse down to the pylorus first. The rest of the stomach is filled only after that (Fig. 6.1).
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Carmichael AR, Tate G, King RFG, Sue-Ling HM, Johnston D (2002) Effects of the Magenstrasse and Mill operation for obesity on plasma plasminogen activator inhibitor type 1, tissue plasminogen activator, fibrinogen and insulin. Pathophysiol Haemost Thromb 32:40–43
Johnston D, Dachtler J, Sue-Ling HM, King RF, Martin G (2003) The Magenstraße and Mill operation for morbid obesity. Obes Surg 13(1):10–6
Lossen H (1927) Über Magenstraße und Magenisthmus. Klinische Wochenschrift 26:1217–1218
Pal A, Brasseur JG, Abrahamsson B (2007) A stomach road or “Magenstrasse” for gastric emptying. J Biomech 40:1202–1210
Robinson J, Sue-Ling H, Johnston D (2006) The Magenstraße and Mill procedure can be combined with a Roux-en-Y gastric bypass to produce greater and sustained weight loss. Obes Surg 16(7):891–896
Vassallo C, Berbiglia G, Pessina A, Carena M, Firullo A, Griziotti A, Ramajoli F, Palamarciuc E, Fariseo M (2007) The Super-Magenstrasse and Mill operation with pyloroplasty: preliminary results. Obes Surg 17(8):1080–1083
Waldeyer W (1908) Die Magenstraße. Sitzungsberichte der König. Akademie der Wiss., Preuss, June 1908
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© 2012 Springer-Verlag Berlin Heidelberg
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Korenkov, M., Millo, P., Allieta, R., Jun, M.N. (2012). The Magenstrasse and Mill Procedure. In: Korenkov, M. (eds) Bariatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16245-9_6
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DOI: https://doi.org/10.1007/978-3-642-16245-9_6
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