title: Reversible bilio-pancreatic diversion with explorable excluded stomach-the Messina technique.
abstract: 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.
authors.affiliation: Department of Human Pathology, University of Messina, Messina, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Navarra
authors.forename: Giuseppe
authors.initials: G
authors.lastname: La Malfa
authors.forename: Salvatore
authors.initials: S
authors.lastname: Lazzara
authors.forename: Tommaso
authors.initials: T
authors.lastname: Centorrino
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: De Marco
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Currò
mesh_terms: D000328:Adult; D000368:Aged; D050110:Bariatric Surgery / Q000379:methods; D015904:Biliopancreatic Diversion / Q000379:methods*; D015331:Cohort Studies; D004386:Duodenum / Q000601:surgery; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery; D055815:Young Adult