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  • Title: A modified Payne technique with a personal antireflux valvular system in the surgical treatment of morbid obesity.
    Author: Forestieri P, Formisano C, Mozzillo N, Sabbatini M, Mazzeo F.
    Journal: Ital J Surg Sci; 1983; 13(2):109-15. PubMed ID: 6629730.
    Abstract:
    Reflux into the blind loop in end-to-side jejuno-ileal bypass is commonly considered the cause of weight loss failure, but the lower morbidity and mortality suggest that this procedure should be preferred to end-to-end bypass in the surgical treatment of morbid obesity, with the proper technical modifications to prevent the reflux. An antireflux single or double valvular system created 3-6 cm proximally to the anastomosis, with few introverting seroserous stitches, parallel and perpendicular to the ileal axis, is reported. This technique, as compared to others, is not time consuming, is easily feasible and does not interfere with the blind loop down-flow. Comparative clinical data and x-ray controls demonstrated the value of this procedure which is able to give excellent results in cases where other procedures (gastric operations, bilio-intestinal, bilio-pancreatic bypass etc.), are contraindicated.
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