Mini Gastric Bypass

Linda_S
on 8/5/08 4:38 am - Eugene, OR
You had a RNY gastric bypass with a mini-incision.  You did not have a mini gastric bypass.  Trust me, there is a big difference.

Linda

Success supposes endeavor. - Jane Austen

mclean
on 8/5/08 5:02 am - Warrenton, VA
Linda,
The exact name of the procedure I had was Mini Incision Open Roux-en-Y Gastric Bypass. Did you reference the web site of my surgeon to see that it's not the same? I think you are right about my procedure being a mini incision and it was a Roux-en-Y proximial. I naturally thought that this is what Madelin was speaking of especially because she referenced VA as being where it was performed. Please enlighten us, what exactly is a Mini Gastric bypass if not this? Can you explain the difference between Mini Gastric and the procedure I had? I'm curious because I have been learning quite a lot about the different procedures in my research and I have never heard of simply Mini Gastric without it being RNY?
McLean
Linda_S
on 8/5/08 9:34 am - Eugene, OR
From Wikipedia:

"Loop Gastric bypass ("Mini-gastric bypass")

The first use of the gastric bypass, in 1967, used a loop of small bowel for re-construction, rather than a Y-construction as is prevalent today. Although simpler to create, this approach allowed bile and pancreatic enzymes from the small bowel to enter the esophagus, sometimes causing severe inflammation and ulceration of either the stomach or the lower esophagus. If a leak into the abdomen occurs, this corrosive fluid can cause severe consequences. Numerous studies show the loop reconstruction (Billroth II gastrojejunostomy) works more safely when placed low on the stomach, but can be a disaster when placed adjacent to the esophagus. Thus even today thousands of "loops" are used for general surgical procedures such as ulcer surgery, stomach cancer and injury to the stomach, but bariatric surgeons abandoned use of the construction in the 1970s, when it was recognized that its risk is not justified for weight management."

Trust me, you don't want a mini gastric bypass.

Linda

Success supposes endeavor. - Jane Austen

mclean
on 8/5/08 11:30 pm - Warrenton, VA

Thanks Linda that's what I was looking for a technical explination of Mini Gastric Bypass so it won't be confused with Mini Open RNY! New people who are trying to decide what procedure to use should not confuse the two surgeries. I had great success with Mini-Open RNY and would hate for anyone to think it is not a good procedure done by an experienced Doctor! For me Mini Open RNY  worked like a charm, however the other procedure Mini-gastric bypass with your  technical explination not so good and outdated!              

McLean

charleston-mom
on 8/5/08 5:03 am
This is NOT a mini-gastric bypass. Has nothing to do with the size of the incision(s). The mini-gastric bypass is not recommended by any reputable bariatric surgeon anywhere. It is not endorsed by the American Society of Bariatric Surgeons and is not covered by any medical insurer in the US that I know of because it is bad surgery. Dr. Rutledge lied on his application to practice medicine in Nevada and has been sued for medical malpractice at least 20 times. He was basically run out of North Carolina. He advertises his surgery on You Tube of all things and most decent bariatric surgeons don't think much of him and are totally against mini-gastric bypass as unsafe.
mclean
on 8/5/08 5:28 am - Warrenton, VA
Ok, I understand that you and Linda are specifically referencing a different procedure then then the one I had. Madelin are you asking about A Mini Gastric Bypass, or a Mini Incision Roux-in-Y
gastric Bypass?

I would hate for people to confuse the 2 procedures like I did, especially if they believe that the procedure I had, which is known as the gold standard and  can be very effective, by confusing it with another outdated and possibly dangerous procedure. Can you Linda or Charleston Mom explain the difference so it's not confused?
charleston-mom
on 8/5/08 7:08 am
A mini-incision is just a laparoscopic gastric bypass. A mini-gastric bypass refers to the actual internal surgery. It is a revival of an old surgery that has been banned for 15+ years and is VERY dangerous.
mclean
on 8/5/08 10:26 pm - Warrenton, VA
My mini- incision Rny was not laprascopic. Do you know exactly what you are cautioning people about?If caution is offered on the internet about the procedure there should be no confusion between the Mini incision RNY which is a very good procedure provided that it is performed by a very experienced doctor and what you are calling the Mini-Gastric bypass. If you caution prople about the Mini Gastric Bypass you should be very clear about what it is and back up with why it is undesirable.
charleston-mom
on 8/5/08 10:28 pm, edited 8/5/08 10:29 pm
I am VERY familiar with mini-gastric bypass. It has nothing to do with the size of the incision. It is very easy for people to research what it is and why it is unsafe. If that is indeed what you have had done, I recommend very close follow-up care for the rest of your life.
mclean
on 8/5/08 10:35 pm - Warrenton, VA
I am not being defensive. I think it is a disservice to people who use this site to be told something is bad when it can easily be confused with something that is very good done properly. I think you should be able to back up what you are saying is bad  with good knowledge and why it is bad and how it is different so it can't be confused with a different procedure. Regardless of your or anyone's background this is a site to help people. If you put an opinion out there it should be very clear and concise or don't go there.
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