The ileal food diversion is a non-restrictive single-anastomosis gastric bypass (a modification of the mini-gasrtric bypass) that combines a large gastric pouch with a distal bypass. It diverts food in the distal small bowel, inducing reduced absorption of nutrients and effectively treating morbid obesity and metabolic syndrome.
This safe and fast procedure can be performed by a single surgeon with a reduced port approach, and is a useful option in complex cases, such as previous failed restrictive procedures.
The rationale, technical aspects and encouraging results from our 6-year experience of >200 procedures is described.
Ileal food diversion (IFD) Malabsorption Bilio-pancreatic diversion (BPD) Type 2 diabetes Quality of life Revisional surgery Mini-gastric bypass (MGB) Single surgeon Reduced port laparoscopy Ileocecal valve (ICV)
This is a preview of subscription content, log in to check access.
Greco F, Tacchino RM. Ileal food diversion: a simple, powerful and easily revisable and reversible single-anastomosis gastric bypass. Obes Surg. 2015;25:680–6.CrossRefGoogle Scholar
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;22:427–32.CrossRefGoogle Scholar
Scopinaro N, Gianetta E, Adami GF, et al. Biliopancreatic diversion for obesity at eighteen years. Surgery. 1996;119:261–8.CrossRefGoogle Scholar
Tacchino RM. Bowel length: measurement, predictors, and impact on bariatric and metabolic surgery. Surg Obes Relat Dis. 2015;11:328–34.CrossRefGoogle Scholar
Pata G, Crea N, Di Betta E, et al. Biliopancreatic diversion with transient gastroplasty and duodenal switch: long-term results of a multicentric study. Surgery. 2013;153:413–22.CrossRefGoogle Scholar
Navarra G, La Malfa G, Lazzara S, et al. Reversible bilio-pancreatic diversion with explorable excluded stomach-the Messina technique. Obes Surg. 2014;24:1563–6.CrossRefGoogle Scholar
Steinemann DC, Bueter M, Schlesser M, et al. Management of anastomotic ulcers after Roux-en-Y gastric bypass: results of an international survey. Obes Surg. 2014;24:741–6.CrossRefGoogle Scholar
Greco F. Conversion of vertical sleeve gastrectomy to a functional single-anastomosis gastric bypass: technique and preliminary results using a non-adjustable ring instead of stapled division. Obes Surg. 2017;27:896–901.CrossRefGoogle Scholar