“Mini” Gastric Bypass: Systematic Review of a Controversial Procedure

Mahawar, Kamal; Jennings, Neil; Brown, James S.; Gupta, Ajay; Balupuri, S.; Small, Peter

doi:10.1007/s11695-013-1026-8

Cited by 190 publications

(128 citation statements)

References 47 publications

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“…It has attracted controversy, however, with concerns regarding increased biliary reflux, upper gastrointestinal cancers and increased complication rates. 36 Weight loss appears to be similar to Roux-en-Y gastric bypass at around 38% at 12 months, which is maintained at 30% after 9 years with similar rates of resolution of diabetes, sleep apnoea and hypertension also reported. 36,37 In experienced hands, operative time is reduced with no increased complication rates or ulceration.…”

Section: Current and Future Bariatric Surgeriesmentioning

confidence: 65%

“…36 Weight loss appears to be similar to Roux-en-Y gastric bypass at around 38% at 12 months, which is maintained at 30% after 9 years with similar rates of resolution of diabetes, sleep apnoea and hypertension also reported. 36,37 In experienced hands, operative time is reduced with no increased complication rates or ulceration. 38 Single anastomosis duodeno-ileostomy (SADI): Similar to the mini gastric bypass, this procedure has been developed as a quicker and safer version of the biliopancreatic diversion or duodenal switch through the formation of a single anastomotic site between the duodenum and the ileum following a sleeve gastrectomy.…”

Section: Current and Future Bariatric Surgeriesmentioning

confidence: 65%

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Bariatric surgery and surgical devices in obesity management

et al. 2016

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Obesity levels worldwide are reaching epidemic proportions with resultant strain on healthcare systems and individual wellbeing. To date, bariatric surgery is the management option that produces the greatest degree of weight loss which can be maintained in the long term along with a reduction in obesity-associated comorbidities such as diabetes and fewer cardiovascular events. Roux-en-Y gastric bypass, laparascopic gastric band and sleeve gastrectomy are the most widely performed bariatric procedures but, despite low perioperative mortality and complication rates, these procedures may not be suitable for all patients due to other factors. Newer surgical techniques are being developed both laparoscopically and endoscopically, in addition to the use of less invasive non-surgical devices that can achieve weight loss, by (1) increasing satiety such as gastric pacing and vagal nerve inhibition and (2) reducing absorption through aspiration of gastric contents, duodenal sheaths and thermal ablation of the duodenal mucosa. This article reviews current and future bariatric surgical procedures and introduces non-surgical devices that may increasingly feature in the management of obesity. Br J Diabetes 2016;16:156-161

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Section: Current and Future Bariatric Surgeriesmentioning

confidence: 65%

Section: Current and Future Bariatric Surgeriesmentioning

confidence: 65%

Bariatric surgery and surgical devices in obesity management

et al. 2016

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“…Though, the findings of this survey could only realistically apply to future procedures, they might also allow for better benchmarking in areas of current clinical controversy [12] and difference of opinions. Similarly, though this survey focuses on bariatric surgical procedures, it cannot be impossible to come up with indicative numbers for endoscopic procedures.…”

Section: Discussionmentioning

confidence: 99%

Criteria for Inclusion of Newer Bariatric and Metabolic Procedures into the Mainstream: a Survey of 396 Bariatric Surgeons

et al. 2016

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Background There is currently no consensus on the criteria for inclusion of new bariatric procedures into routine clinical practice. This study canvasses bariatric surgeons in an attempt to define these criteria. Methods Bariatric Surgeons from around the world were invited to participate in a questionnaire-based survey on SurveyMonkey ®. Conclusion Evaluation of a new bariatric procedure in at least 5 adequately supervised clinical studies (four of which must be randomized comparisons with one of the existing alternatives) reporting at least 5 years results on a minimum of 500 patients would satisfy majority of bariatric surgeons for the inclusion of a new bariatric procedure into clinical practice. The findings of this survey are simply aimed at starting a discussion on this topic and cannot be used to influence the ground reality until an international consensus can be reached amongst experts.

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“…[1,2] These and other reports on the outcomes of the MGB were used in comparison to recent high quality reports on the outcomes of RNY, with specific attention to complications and leaks following revisions. Because of the well known publication bias this was not a formal meta-analysis but qualitative review of recent publications.…”

Section: Methodsmentioning

confidence: 99%

A comparison of the outcomes revision of the Roux-en-Y and Mini-Gastric Bypass: hard vs. easy

Rutledge¹

2017

Laparosc Endosc Surg Sci

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The Mini-Gastric Bypass (MGB) is growing in popularity. Roux-en-Y gastric bypass (RNY) is one of the most common forms of bariatric surgery. The purpose of this paper was to review some of the recent research reporting outcomes of RNY and MGB and to compare the reported results with special attention to leak and complication rates after revision of MGB and RNY. Although there are reports of RNY with good outcomes, many reports document RNY to be a technically difficult procedure with reported complication rates as high as 10% to 30%. In review of recent papers, revision of RNY was associated with roughly double the rate of leaks and complications compared with primary RNY: 20% to 40%. RNY is one of the most commonly performed forms of bariatric surgery. Primary RNY and RNY revision are technically challenging, with moderately high reported leak and complication rates. Numerous studies of MGB have reported the operation to be straightforward with low risk of complications, leak, or bile reflux. Reports of complications or leak after MGB revision are also quite low, and revision is reported to be "easily done."

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“Mini” Gastric Bypass: Systematic Review of a Controversial Procedure

Cited by 190 publications

References 47 publications

Bariatric surgery and surgical devices in obesity management

Bariatric surgery and surgical devices in obesity management

Criteria for Inclusion of Newer Bariatric and Metabolic Procedures into the Mainstream: a Survey of 396 Bariatric Surgeons

A comparison of the outcomes revision of the Roux-en-Y and Mini-Gastric Bypass: hard vs. easy

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