The study of laparoscopic mini gastric bypass in patients of morbid obesity

Authors

  • Atish N. Bansod Department of General Surgery, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Neha S. Awachar Department of General Surgery, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Rohan K. Umalkar Department of General Surgery, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Priyanka C. Tayade Department of General Surgery, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Girish N. Mirajkar Department of General Surgery, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Ishwar Patil Department of General Surgery, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20221152

Keywords:

Mini gastric bypass, Body mass index, Diabetes mellitus, Hypertension

Abstract

Background: Laparoscopic mini gastric bypass (MGB) is considered superior in terms of weight loss, co-morbidity resolution and less complications, thus improve quality of life.

Methods: A prospective interventional study using laparoscopic MGB in 52 morbidly obese patient over a period of 2 years.

Results: Weight loss with average percentage excess weight loss (%EWL) at the end 6 months is 72.62%, at the end of 1st year 80.55% and at the end of 2nd year it is 85.83%. Out of 15 diabetic patients, 66.66% had complete remission of Diabetes mellitus resulting in discontinuation of medications and 20% of them had partial remission. Out of the 18 hypertensive patients, 88.88% had complete remission and 5.55% of them had partial remission and other 5.55% had decrease in dosage medications. Out of 20 patients of obstructive sleep apnoea syndrome (OSAS), 75% patients had complete remission and 25% of them had partial remission.

Conclusions: Laparoscopic MGB is an effective procedure with >50% EWL as early as 3 months. Laparoscopic MGB causes complete or partial remission of the comorbidities like diabetes mellitus, Hypertension and OSAS.

 

References

Mondal A.Prevalence of obesity in India: A systematic review. Diabetes Metab Syndr. 2019;13(1):318-21.

Rutledge R. The Mini Gastric Bypass: Experience with first 1274 cases. Obse Surg. 2001;11(33):276-80.

Lakdawala M, Bhasker A. Asian Consensus Meeting on Metabolic S. Report: Asian Consensus Meeting on Metabolic Surgery. Recommendations for the use of Bariatric and Gastrointestinal Metabolic Surgery for Treatment of Obesity and Type II Diabetes Mellitus in the Asian Population: August 9th and 10th, 2008, Trivandrum, India. Obes Surg. 2010;20:929-36.

Carbajo M, Garc´ıa-Caballero M, Toledano M, Osorio D, Garc´ıa-Lanza C, Carmona JA. One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. Obesity Surgery. 2005;14(3):398-404.

Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obesity Surgery. 2005;14(9):1304-8.

Wang W, Wei PL, Lee YC, Huang MT, Chiu CC, Lee WJ. Short-term results of laparoscopic mini-gastric bypass. Obesity Surgery. 2005;14(4):648-54.

Noun R, Skaff J, Riachi E, Daher R, Antoun NA, Nasr M. One thousand consecutive mini-gastric bypass: shortand long-termoutcome. Obesity Surgery. 2012;22(4):697-703.

Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses-first Study from Indian subcontinent. Obesity Surgery. 2014;24:1430-4.

Piazza L, Ferrara F, Leanza S. Laparoscopic minigastric bypass: shortterm single-institute experience. Updates in Surgery. 2011;43(4):239-42.

Musella M, Susa A, Greco F. The laparoscopic Minigastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surgical Endoscopy. 2014;28(1):144-73.

Jammu GS, Sharma R. A 7-Year Clinical Audit of 1107 Cases Comparing Sleeve Gastrectomy, Roux-En-Y Gastric Bypass, and Mini-Gastric Bypass, to Determine an Effective and Safe Bariatric and Metabolic Procedure. 2015.

Kim MJ, Hur KY. Short-term outcomes of laparoscopic single anastomosis gastric bypass (LSAGB) for the treatment of type 2 diabetes in lower BMI (<30 kg/m2) Patients.Obesity Surgery. 2014;24:1044-71.

Hussain A, Hasani El. Short and mid term outcomes of 527 patients one anastomosis gastric bypass/mini gastric bypass operations: retrospective study. Obesity Journal. 2019.

Downloads

Published

2022-04-26

Issue

Section

Original Research Articles