The Super-Magenstrasse and Mill operation with pyloroplasty: preliminary results.

Background: Our strategy for performing various types of bariatric operations in order to make them suitable for the individual morbidly obese patient, has led us to take into account the original Magenstrasse and Mill (M&M) operation and modify it. This resulted in the so-called Super-Magenstrasse and Mill with pyloroplasty (SM&M-P).

Methods: In the past 3 years, 34 patients with mean BMI 48 and mean age 43 years underwent the SM&MP operation for morbid obesity.

Biliopancreatic diversion with transitory gastric restriction and duodenal bulb preservation: 88 patients since 1992.

Background: Over 10 years, 88 patients underwent biliopancreatic diversion with transitory gastric restriction (BPD-TGR) as a first choice operation or after gastric restrictive procedures.

Methods: From 1992 to 1999, BPD-TGR was performed on 71 patients as a first choice operation (Group 1 - BMI 41.9 +/- 6.