Reversible Bilio-pancreatic Diversion with Explorable Excluded Stomach—the Messina Technique

The authors propose a reversible bilio-pancreatic diversion with access to the bypassed stomach. In the Messina technique, bilio-pancreatic diversion is accomplished by transecting the stomach without gastric resection, as already described by Resa et al. In addition, a temporary gastrostomy is perf...

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Bibliographic Details
Published in:Obesity surgery 2014-09, Vol.24 (9), p.1563-1566
Main Authors: Navarra, Giuseppe, La Malfa, Giuseppe, Lazzara, Salvatore, Centorrino, Tommaso, De Marco, Maria Luisa, Currò, Giuseppe
Format: Article
Language:English
Subjects:
Adult
Aged
Bariatric Surgery - methods
Biliopancreatic Diversion - methods
Cohort Studies
Duodenum - surgery
Female
Gastric Bypass - methods
Gastrointestinal surgery
Gastrostomy
How I Do It
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - surgery
Postoperative Complications - surgery
Retrospective Studies
Stomach - surgery
Surgery
Surgical techniques
Young Adult
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Summary:The authors propose a reversible bilio-pancreatic diversion with access to the bypassed stomach. In the Messina technique, bilio-pancreatic diversion is accomplished by transecting the stomach without gastric resection, as already described by Resa et al. In addition, a temporary gastrostomy is performed on the excluded stomach and allows direct postoperative exploration of the duodenum and the biliary tree. The Messina bilio-pancreatic diversion technique (MBPDT) seems to be safe and effective. The authors propose the MBPDT in a morbidly obese patient undergoing bariatric surgery when a malabsorptive operation is required, as it makes the original Scopinaro operation reversible, the bilio-pancreatic area explorable postoperatively, the operation shorter, and does not cause any significant increase in the postoperative complication rate. Larger numbers and longer follow-up, however, are needed to further confirm our data.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-014-1324-9