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288
MAGGI: LAPAROSCOPIC/ENDOSCOPIC MAGNETIC SIDE-TO-SIDE GASTRO-ILEOSTOMY
Date
May 18, 2024
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.
Transcholedochal laparoscopic bile duct exploration is a challenging procedure. Advanced cirrhosis with portal hypertension is associated with unique set of challenges not limited to increased risk of bleeding and fragile liver…
Anatomical variations in the inflow vasculatures must be anticipated in any anatomical hepatectomy to avoid complications. Nakamura Type B portal vein (PV) anatomy requires individual isolation of right anterior and posterior PV to avoid narrowing of the left PV…
Classical gastrointestinal anastomoses have been made with sutures and/or metal staples, but have resulted in significant bleeding and leak rates. This video is demonstrating a compression anastomosis using magnets to achieve weight loss and remission of co-morbidities…