title: Ileal food diversion: a simple, powerful and easily revisable and reversible single-anastomosis gastric bypass.
abstract: BACKGROUND
  Malabsorptive interventions are recognized as procedure of choice in metabolic surgery and the best strategy for re-do surgery when restriction failed. We describe a novel procedure, the ileal food diversion, an easy and effective non-restrictive one-anastomosis gastric bypass.
  
  
  METHODS
  We report the preliminary results of a series of 68 consecutive patients performed by two surgeons in two different hospitals since 2009 (49 females, 13 re-do surgeries).
  
  
  RESULTS
  Mean operating time was 65 min. All operations were performed by laparoscopy (three-trocar technique in 44 cases and 24 single-incision laparoscopies). Median follow-up is 9.6 months (range 2-48). Diabetes resolution was accomplished in 80% of patients. Average BMI decreases from 44 to 27 after 24 months.
  
  
  CONCLUSIONS
  Ileal food diversion is an interesting option in super-obese patients, re-do surgery and patients with metabolic syndrome. Technical considerations, physiological assumptions and rationale were discussed.
authors.affiliation: Department of Surgery, Clinica Castelli, Via Giuseppe Mazzini 11, 24128, Bergamo, Italy, drgrecofra@hotmail.com.
authors.forename: Francesco
authors.initials: F
authors.lastname: Greco
authors.forename: Roberto
authors.initials: R
authors.lastname: Tacchino
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007581:Jejunoileal Bypass / Q000379:methods*; D010535:Laparoscopy / Q000379:methods; D008297:Male; D024821:Metabolic Syndrome / Q000601:surgery; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D061646:Operative Time; D010865:Pilot Projects; D012086:Reoperation; D016896:Treatment Outcome