MAGDI: Magnetic Duodeno-Ileostomy

Clinical History:

• 44 years old, female

• Laparoscopic Sleeve Gastrectomy in 2019 with BMI 42kg/m2

• Bilateral salpingectomy

• Comorbidities:

• Sleep apnea

• Hypertension

• Endometriosis

Other history:

• Weight regain with BMI 32 kg/m2

Technique description:

• Laparoscopic/endoscopic Magnetic side-to-side Duodeno-Ileostomy (MAGDI)

Procedure steps:

1. Ileum measure at 250 cm

2. Magnets in the first duodenum + ileum

3. Closure of the mesenteric defect

Training Objectives:

• Compression anastomosis is possible without enterotomies