The Mini-Gastric Bypass: Experience with the First 1,274 Cases

Abstract

The MGB is safe, results in major weight loss, has a short operating-time, and has a short hospital stay. The MGB appears to meet many of the criteria of an "ideal" weight loss operation.

Innovative solutions in bariatric surgery

“…This procedure was popularized and described in a group of (20). Operative technique differs from standard Roux-en-Y by creating a longer, but narrow gastric pouch.…”

Mini-Gastric Bypass for Bariatric Surgery Increasing Worldwide

“…However, in 2002, after reading Rutledge's initial paper showing simplicity and safety of the MGB [1], Miguel Carbajo and Manuel Garciacaballero in Spain (who had been performing the RYGB for >10 years) began their variant of the MGBthe OAGB (or BAGUA-Bypass Gastrico de Una Anastomosis) ( Figure 2), which has a similar malabsorptive component [30]. Because of suspicion by others of potential reflux and cancer, they designed a MGB variant with a side-to-side anastomosis of the biliopancreatic limb to the gastric pouch (rising on the remnant stomach), to facilitate emptying of biliopancreatic juice toward the efferent limb and thus prevent reflux [31].…”

“…As a trauma surgeon, he was faced with an abdominal gun-shot wound where a duodenal exclusion with a Billroth II anastomosis was an appropriate reconstruction. This was the inspiration that led Rutledge to the MGB on consenting bariatric patients, constructing a long lesser curvature channel which prevents reflux [1,2]. In the USA, there was some skepticism against the MGB.…”

A Safe and Efficacious Alternative to Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity and Type 2 Diabetes - One Anastamosis / Mini Gastric Bypass

“…The original technique was first described by Rutledge [9]. After division of the stomach at the junction of the body and antrum, the long gastric tube is created parallel to the …”

“…However, it is technically challenging with a steep learning curve associated with longer operating times and high perioperative morbidity and complications [6][7][8]. Laparoscopic mini-gastric bypass (LMGB) is an emerging surgical method, first reported by Rutledge [9] was proposed as a simple, safe and efficacious for the treatment of morbid obesity. However, there are concerns about biliary reflux, risk of malignancy, marginal ulcer and reflux esophagitis after LMGB [10][11].…”