Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era

Abstract

Minilap MGB is a simple, safe, effective and low-cost gastric bypass. It represents an attractive cost-effective alternative to laparoscopic MGB.

Primary Results of Laparoscopic Mini-Gastric Bypass in a French Obesity-Surgery Specialized University Hospital

“…We haven't noted any in our series (the postoperative peritonitis that we encountered was due to a traumatic jejunal injury away from the anastomosis). This is also true for other LMGB published series [5][6][7][8][9]. These low rates can probably be explained by a good blood supply of the gastric pouch and of the uninterrupted jejunal loop.…”

“…In 2001, Rutledge published the first series of LMGB, a new technique supposed to be equally effective yet easier to perform than LRYGB. Many series followed [5], by minilaparotomy [6] or by laparoscopynotably a 2005 prospective randomized controlled trial [7]-confirming these good results [8]. Despite all that, LMGB is far from gaining general consensus so, what's wrong with LMGB?…”

Laparoscopic mini-gastric bypass in patients age 60 and older

“…The laparoscopic mini-gastric bypass (LMGB), also known as the one-anastomosis or omega-loop gastric bypass, was devised 16 years ago by Dr. Robert Rutledge [11,12] and has been adopted progressively by bariatric surgeons [13][14][15][16][17][18][19][20][21][22], as a safe, rapid and effective procedure. After performing various bariatric operations, the author was trained in the LMGBP by Dr. Rutledge and has been conferring with the other LMGBP surgeons worldwide, especially at the annual Paris LMGB Consensus Conferences.…”

Obesity and Diabetes

“…Promising long-term results were reported 5 years postoperatively, EWL exceeding 70 % . Noun et al (2007), reported more or less similar results of EWL, reaching 68 % when they followed the patients for up to 5 years.…”