mgb

wat exactly is a mgb, how does it differ frm the full bypass

Hi,

Don't be deceived by the name.  It IS a full bypass.  In fact, it bypasses much more than all the other surgeries.  You can read about it at http://clos.net.

just how so? i researched this for years before surgery. and found nothing to support your claim. how does it bypass much more as you state than other wls surg?

Here is info on a clinical study that was done.  You can get more info at http://clos.net.

MGB Simpler, Safer than RNY

Laparoscopic Mini-Gastric Bypass versus Roux-En-Y Gastric Bypass:

5-Year Results and Final Report of a Randomized Trial

Presenter: W. J. Lee (Min-Sheng General Hospital, Taoyuan, Taiwan)
Co-authors: J. Chen1, K. Ser1
1Min-Sheng General Hospital, Taoyuan, Taiwan

Background

We had previously reported a randomized study evaluated the surgical morbidity and 2-year results of laparoscopic mini-gastric bypass (LMGBP) versus laparoscopic Roux-en-Y gastric bypass (LRYGBP).

We now reported the final result after 5-year follow-up.

Methods

282 patients received  Mini-Gastric Bypass for the treatment of morbid obesity were recruited from our comprehensive obesity surgery center and compared with 40 patients received  Roux-en-Y Gastric Bypass who were included in the previous randomized trial. 

Minimum follow-up was 5 years (from 5 to 8 years).

The changes in body weight loss, BMI, quality of life and late complication were determined at follow-up. 

Changes in quality of life were assessed using the Gastro-Intestinal Quality of Life Index (GIQLI).

Results

There was no difference in preoperative clinical parameters between the two groups.
All procedures were successfully carried out with no deaths in either group.

** Surgical time ** was significantly longer for  Roux-en-Y Gastric Bypass (205 minutes vs. 148 minutes for  Mini-Gastric Bypass, p < 0.05).

The ** complication rate ** was higher for Roux-en-Y Gastric Bypass
(20% vs. 7.5%, p < 0.05).

Excess weight loss and mean BMI at 5 years for Roux-en-Y Gastric Bypass and Mini-Gastric Bypass were 60% vs. 72%, p = 0.07) and (29.2 vs. 27.1, p = 0.30) separately.

Post-operative Gastro-Intestinal Quality of Life Index increased significantly after operation in both groups.

Late complications and revision rates were similar in the two groups.

Follow-up study disclosed an improvement of obesity-related clinical parameters in both groups.

Conclusion

This study demonstrates that Mini-Gastric Bypass is an effective treatment for morbid obesity and can improve quality of life similar to  Roux-en-Y Gastric Bypass.  

The Mini-Gastric Bypass is simpler and safer procedure than the Roux-en-Y Gastric Bypass and no proven disadvantage after five year follow-up.

The Mini-Gastric Bypass can be regarded as a simpler and safer alternative surgical procedure to  Roux-en-Y Gastric Bypass.