Mini Gastric Bypass

Does anyone know surgeons in NY that perform the mini-gastric bypass? So far I'm only able to locate Surgeons in Michigan & NC. If anyone here as had it, I'd sure love any input. I'm just beginning the research end of WLS and this web site has been fantastic. Everyone's been so helpful, I'm lookin to get on the bench,but I want to find the best way for me to get there.

Are you talking about the gastric sleeve????????? Marie

I've only heard it referred to as mini gastric bypass-it's supposedly less recover time than RNY and there's a Dr.Rutledge in Vegas, & centers in Mich. & NCwher they perform it. I haven't seen it referred to as a sleeve, but could be cause I'm just starting w/this.

Sorry hon, never heard of this. You can call my doc's office and inquire. I was just banded Tuesday! I am feeling so great! I can look at my body and see a difference already!! I just can't wait until I'm at the 4-6 week points so I can get back to CURVES and tighten things up! Please ask any questions you have. I researched a long time, but knew immediately what surgery I wanted! Good Luckeroonies!

Sorry I haven't heard of that. I know I am having laproscopic RNY on tuesday and it's only a 2 day stay in the hospital and 2 weeks off work which isn't bad at all when you look at all the benefits. Well keep us all updated and good luck on your journey!!! Nicole

I have heard of the micro pouch, but I don't know where it is being done. I don't know anymore than that, sorry. ~~Betsy

Hi Nicole, MGB is only done in those specific locations. It is quite controversial. I have done some research on it. PM me and I can tell you a little more about it. I have had RNY and am so happy with my success so far! Best regards, Robin

Nicole: I STRONGLY encourage you to do A LOT OF RESEARCH on WLS the types etc. To the best of my knowledge no surgeon in NY does the 'mini gastric bypass' & I believe there is a good reason for this, if you do more research that will become crystal clear why. Also investigate your insurance companies policy and what surgery they will cover, I WILL BET most likelu the Mini bypass is not one. I always urge people to find out the good, bad and ugly of WLS, the lifestyle changes needed for the one they choose as no surgery if fullproof or safe, all can be defeated ad many can cause longstanding concerns if follow up is not done. Just because something is said to be less invasive, mini or safer is not always the case. Some hospitals/insurers have banned this operation/stopped pauing for it! If you want article on that I have it saved. Many times its a cash surgery as insurance won''t pay, can be a big business! I am pro WLS to an informed and educated person the surgery u choose is what is best for u based on your research and needs. They still do the VBG despite the known complications sadly.... per this yahoo online group: http://health.groups.yahoo.com/group/MGB_PostOp/ http://health.groups.yahoo.com/group/OSSG-MiniGastricBypass/ The MGB, developed by Dr. Rutledge, is ONLY performed at an approved CLOS centers. Our locations are: Las Vegas, NV, Orlando Fl and Bay City MI! http://obesityhelp.com/content/wlsurgery.html good ink to see info on different surgeries... http://www.livingafterwls.com/Library.html for some great articles Someone mentioned the gastric sleeve (VGS)http://en.wikipedia.org/wiki/Sleeve_gastrectomy no that is a different operation, as is the sapala-wood micro pouch that is a gastric bypass w 1-2 cc vs 15-30cc pouch. http://gastricbypass.netfirms.com/micropouch.htm http://www.thenewprogram.com/mgb.html read this from obesity surgery journal in 2001 . ~~~~~~~~~~~~~~~~~~ (on)http://www.gastricbypass.com/SOMO.html Loop Gastric Bypass ("Mini Gastric Bypass") This form of Gastric Bypass was developed years ago, and has generally been abandoned by nearly all bariatric surgeons as unsafe -- several years ago, a consensus of the American Society for Bariatric Surgery was that the procedure should never be performed. Although easier to perform than the Roux en-Y, it creates a severe hazard in the event of any leakage after surgery. It seriously increases the risk of ulcer formation, and irritation of the stomach pouch by bile, as well as risking the potential of esophageal cancer. Many persons who underwent this procedure in the past have required major revisional operations to correct severe discomfort and life-threatening pathophysiologic effects. Most bariatric surgeons agree that this operation is obsolete, and should remain defunct. This operation has been resurrected, in order to make the laparoscopic procedure easier to perform, by possibly less-skilled surgeons. As shown by the single surgeon performing the procedure, the gastric pouch is excessively large, which may lead to loss of weight control over time. A fundamental principle of laparoscopic surgery is that the underlying operation should not be compromised or degraded, in order to accompli**** by using limited access techniques. The loop bypass does not meet this standard. There is no reliable long-term data to support use of this anatomic variation. ~~~~~~~~~~~~~~~~~~~~~~ http://www.stress-free-weight-loss.com/mini-gastric-bypass.htm The mini gastric bypass procedure takes less time in the operating room than the more "traditional" Roux-en-Y surgery, but does that really mean it's safer? The mini gastric bypass is a surgery done using a laparoscopic technique, which avoids large scars and cuts down on operating time. However, this is still a very drastic procedure, and many large insurance companies consider it to be "investigational or experimental" and will not cover it even if other forms of gastric bypass surgery are allowed. I checked the medical policy of two large West Coast health insurance companies and they both cite unacceptable complications as the reasons for their refusal to cover this procedure. The mini gastric bypass may be misnamed. It is "mini" only because the incisions are small. The surgical changes are quite extensive, as you can see from the illustration. The procedure resembles the Billroth II procedure, a surgical treatment for stomach cancer. According to the insurance companies' policy manuals, the type of surgical connection used in the mini gastric bypass procedure can cause biliary reflux gastritis and other complications. This mini gastric bypass procedure "works" in two ways to help patients lose weight. 1. The stomach is smaller, and 2. the upper intestine (and it's digestive juices) are bypassed. This allows fewer nutrients to be absorbed, and may cause vitamin deficiencies and other problems. Patients who undergo this type of surgery must stay in close contact with their nutritional counselors and surgical clinic. http://en.wikipedia.org/wiki/Gastric_bypass_surgery Variations of the gastric bypass Loop gastric bypass The first use of the gastric bypass, in 1967, used a loop of small bowel for re-construction. Although simpler to create, this approach allowed corrosive juices from the small bowel to enter the gastric pouch, sometimes causing severe inflammation and ulceration of either the stomach or the lower esophagus. It was soon abandoned by its originators, in favor of less troublesome techniques, but has recently been employed again by a few surgeons, as the "Mini-Gastric-Bypass", mainly to simplify the challenge of reconstruction, when performed laparoscopically. Although mini-gastric bypass has been asserted to have a low complication rate, there are now multiple reports in the medical literature of serious long-term complications with the technique, necessitating major revisional surgery. OH has a Mgb forum: http://obesityhelp.com/forums/mini_gastric_bypass/ This is simply info for you to think of is all yes bypass has risks as well as other surgeries like band bpd/ds etc. be well read read read!!! Take Care, Jamie Lap RNY 10/9/02 Dr. Singh 320/163 5'9'' (lost 45 before Surgery) Plastics 6/9/04 & 11/11/2005 Dr. King "Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"

Indeed ... Do your homework ... I did and am very pleased with my results in the short- and long-term ... Just remember, what appears to be "the easy way" rarely is and the MGB is indeed very controversial and sometimes open to interpretation and variations by the surgeon ... Good luck and God bless. Open DS 11/19/04 Dr Mitch Roslin-LH/NYC 321 / 130 Size 32 to Size 0-4 Maintaining a day at a time with ease and contentment http://www.mermaidonline.net

BTW ... Here's the MGB Forum here on OH ... The slow moving nature of the board should give you an idea of how rare they still are ... A very important hint to me is to be sure to check the stories/profiles of those who are 2 years or more post-op. http://www.obesityhelp.com/forums/mini_gastric_bypass/ Again, good luck and God bless! MM