Short-term results of laparoscopic mini-gastric bypass

Weu Wang, Po Li Wei, Yi Chih Lee, Ming Te Huang, Chong Chi Chiu, Wei Jei Lee

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Background: The laparoscopic mini-gastric bypass (MGB) is a modification of Mason's loop gastric bypass, but with a long lesser curvature tube. With weight loss results similar to laparoscopic Roux-en-Y gastric bypass (LRYGBP), the MGB is a simpler operation with a low complication rate. Controversy exists concerning the efficacy and side-effects of this procedure. This report presents the technique of laparoscopic MGB and its results in 423 patients. Methods: From October 2001 to October 2004, 423 consecutive patients (87 males and 336 females) underwent laparoscopic MGB (LMGB) for morbid obesity. Mean age was 30.8 years, preoperative mean weight 120.3 kg and mean BMI 44.2 kg/m2. Results: All procedures were completed laparoscopically. Mean operative time was 130.8 minutes, and mean hospital stay was 5.0 days. 18 minor early complications (4.3%) were encountered, and 7 major complications (1.7%) occurred. Marginal ulcers were noted in 34 patients (8.0%) during follow-up, and anemia was found in 41 patients (9.7%). Mean BMI decreased to 29.2 and 28.4 kg/m2 at 1-year and 2-year follow-up, with mean excess weight loss 69.3% and 72.2%. The Gastrointestinal Quality of Life Index improved significantly 1 year after the operation. Conclusions: LMGB has a low complication and mortality rate. The learning curve is less steep than for LRYGBP, whereas the efficacy is similar.

Original languageEnglish
Pages (from-to)648-654
Number of pages7
JournalObesity Surgery
Volume15
Issue number5
DOIs
Publication statusPublished - May 2005
Externally publishedYes

Fingerprint

Gastric Bypass
Weight Loss
Learning Curve
Morbid Obesity
Operative Time
Peptic Ulcer
Anemia
Length of Stay
Quality of Life
Weights and Measures
Mortality

Keywords

  • Laparoscopy
  • Mini-gastric bypass
  • Morbid obesity
  • Vertical gastroplasty

ASJC Scopus subject areas

  • Surgery

Cite this

Short-term results of laparoscopic mini-gastric bypass. / Wang, Weu; Wei, Po Li; Lee, Yi Chih; Huang, Ming Te; Chiu, Chong Chi; Lee, Wei Jei.

In: Obesity Surgery, Vol. 15, No. 5, 05.2005, p. 648-654.

Research output: Contribution to journalArticle

Wang, Weu ; Wei, Po Li ; Lee, Yi Chih ; Huang, Ming Te ; Chiu, Chong Chi ; Lee, Wei Jei. / Short-term results of laparoscopic mini-gastric bypass. In: Obesity Surgery. 2005 ; Vol. 15, No. 5. pp. 648-654.
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