Authors: Arnaud De Roover Laurent Kohnen Jenny Deflines Barbara Lembo Vinciane Goessens Nicolas Paquot Severine Lauwick Abdourhamane Kaba Jean Joris Michel Meurisse
Publish Date: 2014/09/09
Volume: 25, Issue: 2, Pages: 234-241
Abstract
The Magenstrasse and Mill MM procedure is a vertical gastroplasty creating a tubular pouch extending from the cardia to the antrum This “incomplete sleeve” avoids gastric resection or band placement In this paper we report our experience of the laparoscopic approach of the technique in a selected obese population excluding prominent grazer and/or sweet eatersThe procedure was performed by laparoscopy starting with the creation of a circular opening at the junction of antrum and corpus followed by a vertical stapling to the angle of Hiss Mean duration of the procedure was 67 range 40–122 min No intraoperative complication occurred Mean hospital stay SD was 25 09 days The single postoperative complication consisted in a mild stenosis that responded to endoscopic dilatation After a mean followup of 15 months range 9–24 mean percentage of excess body weight loss SD was 4814 5918 and 6824 respectively at 3 6 and 12 months Quality of life appeared satisfactory with a low incidence of gastroesophageal reflux The procedure was associated with improvement or resolution of diabetes arterial hypertension and dyslipemia at 1 year
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