Mini Bypass

Laparoscopic Mini-gastric bypass (LMGB)


The Mini-gastric bypass or single loop gastric bypass is another variation of the gastric bypass. There are two major differences between the MB & RYGB

The gastric pouch in the MGB is longer.
More importantly there is one connection between the gastric pouch and the small intestine.

The MGB may have the advantage over the RYGB in being simpler and quicker as an operation. Weight loss seems to be equal among the two procedures with a tendency to have more diarrhea and mal-absorption with the MGB.
The major concern with the MGB is the exposure of the gastric pouch to the irritating juices of the bile and pancreas, which in the long-term might lead to damage, ulcers and possible cancer in the lining of the stomach pouch. We do not have strong evidence to support that claim and long-term data on the MGB is still lacking. Although criticized early on by many American bariatric surgeons, the mini-gastric bypass has become a standard operation in many European countries.

Results
Long-term results with the MGB are similar to the RYGB with percent excess weight loss of 50-70% and improvement or resolution of obesity related co-morbidities.

Risks and Side Effects
Immediate serious risks following MGB occur in 3% of patients and include the risk of deep vein thrombosis (blood clots), pulmonary embolus, leak and deep abdominal infection, bleeding and intestinal blockage. Most will appear within the first few days. Some of these complications are best managed with early re-operation. The risk of death is less than 0.3% in experienced bariatric surgical centers such as ours.

Long term side effects include stomach ulcers, gastritis, bile reflux, temporary hair loss, occasional fatigue, anemia, vitamin deficiency, gallstones and loose skin. That is why it is important to maintain regular follow-up and perform blood tests at least twice a year.

Diarrhea and passing gas is a common occurrence after the MGB.

Life after the Lap MGB
The average operation takes about 60 minutes and the average stay in the hospital is around 2 days. The phases of diet include clear fluids for three days, thick fluids for five days and soft food for one week. Thereafter food intake becomes normal. Most patients return to work within 10 days of the operation and resume exercise three weeks later.

Long-term commitment to healthy eating habits and regular activity are important to guarantee the success of the operation.

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