DOI: https://dx.doi.org/10.18203/2349-2902.isj20221152
Published: 2022-04-26

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

Atish N. Bansod, Neha S. Awachar, Rohan K. Umalkar, Priyanka C. Tayade, Girish N. Mirajkar, Ishwar Patil

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.

 


Keywords


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

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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.