laparoscopic; bariatric; surgery; sleeve; magenstrasse and Mill; obesity; gastroplasty
Abstract :
[en] Abstract
Background TheMagenstrasse and Mill (M&M) 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 eaters.
Material and Methods One hundred patients (39 males, 61
females) underwent the procedure in a prospective trial.Mean
age was 40 years (range 18–68). Mean preoperative BMI was
43.2 kg/m2 (range 35–62).
Results The 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 2.5 (0.9) days. The single postoperative
complication consisted in a mild stenosis that responded
to endoscopic dilatation. After a mean follow-up of
15 months (range 9–24), mean percentage of excess
body weight loss (SD) was 48(14), 59(18) and 68(24)%,
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.
Conclusions Our experience demonstrated that the M&M
procedure could be performed safely laparoscopically. The
satisfactory results on weight loss, obesity-associated
mordities, and quality of life will need to be confirmed on
longer follow-up.
Disciplines :
Surgery
Author, co-author :
DE ROOVER, Arnaud ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
KOHNEN, Laurent ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
DE FLINES, Jenny ; Centre Hospitalier Universitaire de Liège - CHU > Diabétologie,nutrition, maladies métaboliques
LEMBO, Barbara ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
GOESSENS, Vinciane ; Centre Hospitalier Universitaire de Liège - CHU > Secteur diététique
PAQUOT, Nicolas ; Centre Hospitalier Universitaire de Liège - CHU > Diabétologie,nutrition, maladies métaboliques
LAUWICK, Séverine ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
KABA, Abdourahmane ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
JORIS, Jean ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
MEURISSE, Michel ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Language :
English
Title :
LAPAROSCOPIC MAGENSTRASSE AND MILL GASTROPLASTY. FIRST RESULTS OF A PROPECTIVE STUDY