WHAT IS MINI GASTRIC BYPASS SURGERY?

The traditional gastric pass surgery has garnered excellent results for weight loss.However, the procedure is technically challenging and carries a potential risk of 7 % for any kind of complication.The newly popular mini gastric bypass was developed in 1997 by Dr.Rober Rutledge.It is quicker, technology friendly and much safer procedure than the traditional surgery with a lower complication rate of 2.9%.The mini gastric bypass procedure is restrictive and malabsorptive.It means that it restricts your food intake while reducing the size of your stomach.The procedure bypasses up to 6 feet of intestines thus reducing the absorption of food.

Procedure

  • Enter the abdominal cavity: 5 small (1 inch) incisions are made on the abdominal wall to allow the insertion of access ports. Surgical instruments are then passed through the various ports to complete the operation.
  • Retraction of the Liver: The liver must be lifted out of the way in order to complete the operation.
  • Creation of the Mini-Stomach: The stomach is divided into 2 parts. One part, a long narrow tube that will serve as your new “mini-stomach”. The second part is the larger remaining part of your stomach which remains alive and well but is now “defunctionalized”, which means it no longer receives or processes food.
  • Bypass of the small intestine: The length of small intestine bypassed varies usually ranging from 3 to 7 feet. The actual length of intestine bypassed will be determined by the surgeon based on multiple factors including your height and weight, your weight loss expectations, and a careful review of the risks and benefits.
  • Removal of ports and closure of skin incisions: Upon completion of the operation, all instruments and ports are removed and the 5 small skin incisions are closed with skin closure staples.

Benefits of Mini Gastric Bypass

  • Operating time is less: On an average of 50 minutes as compared to traditional gastric laparoscopic bypass surgery.
  • Lesser re-routing of the intestines: The re-routing of intestines is much lower thus the operating time also is quicker.
  • Technology friendly surgery: The mini gastric bypass surgery is new and advanced in terms of technology and much easier for the surgeons.
  • Weight loss and recovery: The recovery is similar to that of a gastric bypass surgery, however, the complication rate is much lower at 2.9 %.
  • Fewer anastomosis: This Is related to the intestines, which means lesser chances of a complication.

Potential Risks and Complications

  • Severe acid flux: The gastric juices may enter the pouch as the lower section of the stomach is still connected to the intestines.Thus the juices can travel up and down causing such a problem.
  • Pain: Minimal amount of pain will be there in the initial weeks of recovery.This will be because of the incisions made in the belly.
  • Minor complications: Hernias.incision infections, ulcers could develop at the surgical site.
  • Major complications: Complications such as staple line leaks, pulmonary embolisms and strictures.These should be managed well & attentively by the surgeon.Before the surgery the patient should be informed of such risks and complications and symptons for it.

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