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MAGGI: LAPAROSCOPIC/ENDOSCOPIC MAGNETIC SIDE-TO-SIDE GASTRO-ILEOSTOMY
Michel Gagner
*, Lamees Almutlaq
Westmount Square Surgical Center, Westmount, QC, Canada
This video is demonstrating compression anastomosis using linear magnets to achieve weight loss and remission of co-morbidities, as a revision strategy for weight regain after sleeve gastrectomy.
A linear magnet was delivered by flexible endoscopic catheter in the duodenum, transported to a point 250 cm proximal to the ileocecal valve, and a second magnet was positioned in the gastric antrum; the segments containing the magnets were apposed to initiate gradual incisionless compression. Laparoscopic assistance was used to obtain accurate bowel measurements, divide adhesions, obviate tissue interposition, and close mesenteric defects.
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