Historical Background on Mini Gastric Bypass:

First performed by Robert Rutledge in September 1997. Mini gastric bypass is a modification of the Billroth II procedure, originally performed for gastric cancer. Now, almost 20 years and well over 30,000 procedures later, a recent study shows that mini gastric bypass is becoming one of the 3-4 most popular bariatric and metabolic procedures in many countries around the world.

Surgical aspects of mini gastric bypass:

Mini gastric bypass principle:

Long gastric tube and wide loop anastomosis to create malabsorptive and damping effect.

Position of the patient in the operating room:

The position of the patient in the operating room is the same as for Roux-en-Y gastric bypass.

Mini gastric bypass is considered a malabsorption procedure in which there is less absorption of food consumed.

There are similar 3-4 cuts or holes

In this case, the gastric sac is long, like a sleeve, which connects to the intestine, forming a loop, thereby ending the procedure with only one anastomosis or connection.

The bypass intestines are 170 to 250 cm long, depending on the needs of each patient.

Weight Loss After Mini Gastric Bypass:

The results of weight loss and resolution of comorbidities are similar to those of the RYGB.

Advantage over RYGB:

It has a theoretical advantage over RYGB in reducing the likelihood of intestinal obstruction during long-term follow-up.

The patient has a better capacity and tolerance for the amount of food, but since this causes more malabsorption, the frequency of stools may be increased.

After the MGB, we saw brilliant results in a special subspecies of our population.