Thursday, April 10, 2008

MINI-GASTRIC BYPASS SURGERY PROVES EFFECTIVE OVER MORE INVASIVE ALTERNATIVE

MINI-GASTRIC BYPASS SURGERY PROVES EFFECTIVE OVER MORE INVASIVE ALTERNATIVE

As more people look to weight loss surgery to address their expanding waist lines, new research suggests that the best way to drop a few dress sizes is to opt for the mini - as in mini-gastric bypass surgery.


The research, published in Elsevier's International Journal of Surgery, studied patients who underwent mini-gastric bypass surgery, or MGB, and assessed their pre- and post-hospitalization needs. The results were compared with the findings of recent research into patients of a more invasive bypass surgery, Roux-en-Y gastric bypass (RNY).

Findings from the RNY research reflected a spike in increased hospital admission after the first year of the surgery. While the increase can partly be attributed to elected procedures like plastic surgery, knee replacements and disk procedures for RNY post-op patients, the majority of admissions were for RNY-related complications.

Alternatively, the rates of hospitalization after MGB drop dramatically, and the surgery itself is shorter, safer and easier to perform than the RNY. The MGB patients who underwent surgery between January 2000 and June 2005 in the United States and who participated in the survey did of course cite some post-op problems such as renal stone disease and Cholecystectomy, but overall the complications were relatively small.

Dr Robert Rutledge lead author of the study said "Bariatric surgery although valuable can have major risks and complications. Recent studies have shown complications and hospitalization rates of 20% per year for three years after Roux-en-Y gastric bypass. If the result of this study are confirmed, showing lower risk of complications and re-hospitalization after the Mini-Gastric bypass, then patients and insurers may have access to a safer and less expensive alternative."

Beyond the comparison to the RNY procedure, MGB patients also saw a decrease in their hospitalization rates after the MGB when compared to pre-MGB hospitalization rates. So as people continue to look for the quick fix to cut the pounds, the big operation may not result in the biggest results. Sometimes the best rewards come in small - or in this case - "mini" packages.

Laparoscopic Roux-en-Y vs. Mini-gastric Bypass for Obesity

Laparoscopic Roux-en-Y vs. Mini-gastric Bypass for Obesity

In the most recent issue of Annals of Surgery researchers show that laparoscopic mini-gastric bypass is a simpler and safer procedure that has no disadvantage compared with laparoscopic Roux-en-Y gastric bypass.

Researchers conducted a prospective, randomized trial to compare treatments of morbid obesity. The team compared the safety and effectiveness of laparoscopic Roux-en-Y gastric bypass and laparoscopic mini-gastric bypass in the treatment of morbid obesity.
Laparoscopic Roux-en-Y gastric bypass has been the gold standard for the treatment of morbid obesity. While laparoscopic mini-gastric bypass has been reported to be a simple and effective treatment, the team report that data from a randomized trial are lacking. The researchers recruited 80 patients who met the National Institute of Health criteria and randomized 40 patients to receive laparoscopic Roux-en-Y gastric bypass and 40 to laparoscopic mini-gastric bypass. The research team reported that the minimum postoperative follow-up was two years and that perioperative data were assessed. The researchers determined late complication, excess weight loss, body mass index, quality of life, and comorbidities. Changes in quality of life were assessed using the Gastro-Intestinal Quality of Life Index.

The researchers found one conversion in the laparoscopic Roux-en-Y gastric bypass group. Operation time was shorter in laparoscopic mini-gastric bypass group and there was no mortality in either group. The team observed that the operative morbidity rate was higher in the laparoscopic Roux-en-Y gastric bypass group, at 20 percent versus 8 percent. The late complications rate was the same in the two groups at 8 percent with no re-operation. The team noted that weight loss was 59 percent and 60 percent at one and two years, respectively, in the laparoscopic Roux-en-Y gastric bypass group. The team noted that percentage weight loss in the group was 65 percent and 64 percent in the laparoscopic mini-gastric bypass group. Residual excess weight of less than 50 percent at two years postoperatively was achieved in 75 percent of patients in the laparoscopic Roux-en-Y gastric bypass group. In comparison, the researchers found that residual excess weight loss at two years in the laparoscopic mini-gastric bypass group was 95 percent. A significant improvement of obesity-related clinical parameters and complete resolution of metabolic syndrome in both groups were noted. In addition, the researchers observed that gastrointestinal quality of life increased significantly without any significant difference between the groups.

Annals of Surgery; 2005: 242(1): 20-8

Laparoscopic Mini-gastric Bypass

Items 1 - 28 of 28
One page.
1:
Noun R, Riachi E, Zeidan S, Abboud B, Chalhoub V, Yazigi A.
Abstract
Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era.
Obes Surg. 2008 Feb 13; [Epub ahead of print]
PMID: 18270784 [PubMed - as supplied by publisher]
2:
Noun R, Riachi E, Zeidan S, Abboud B, Chalhoub V, Yazigi A.
Abstract
Mini-gastric bypass by mini-laparotomy: a cost-effective alternative in the laparoscopic era.
Obes Surg. 2007 Nov;17(11):1482-6.
PMID: 18219775 [PubMed - indexed for MEDLINE]
3:
Lee WJ, Wang W, Lee YC, Huang MT, Ser KH, Chen JC.
Abstract
Laparoscopic Mini-gastric Bypass: Experience with Tailored Bypass Limb According to Body Weight.
Obes Surg. 2008 Mar;18(3):294-9. Epub 2008 Jan 12.
PMID: 18193178 [PubMed - in process]
4:
Lee YC, Lee WJ, Lee TS, Lin YC, Wang W, Liew PL, Huang MT, Chien CW.
Abstract
Prediction of successful weight reduction after bariatric surgery by data mining technologies.
Obes Surg. 2007 Sep;17(9):1235-41.
PMID: 18074500 [PubMed - indexed for MEDLINE]
5:
Lee WJ, Wang W, Lee YC, Huang MT, Ser KH, Chen JC.
Abstract
Effect of Laparoscopic Mini-Gastric Bypass for Type 2 Diabetes Mellitus: Comparison of BMI >35 and <35>
J Gastrointest Surg. 2007 Oct 16; [Epub ahead of print]
PMID: 17940829 [PubMed - as supplied by publisher]
6:
Chevallier JM.
No Abstract
[Commentary. Invited comment on the article by Noun et al. about Laparoscopic mini-gastric bypass...]
J Chir (Paris). 2007 Jul-Aug;144(4):305-6. French. No abstract available. Erratum in: J Chir (Paris). 2007 Nov-Dec;144(6):566.
PMID: 17925735 [PubMed - indexed for MEDLINE]
7:
Noun R, Zeidan S.
Abstract
[Laparoscopic mini-gastric bypass: an effective option for the treatment of morbid obesity]
J Chir (Paris). 2007 Jul-Aug;144(4):301-4. French.
PMID: 17925734 [PubMed - indexed for MEDLINE]
8:
Chen HH, Lee WJ, Wang W, Huang MT, Lee YC, Pan WH.
Abstract
Ala55Val polymorphism on UCP2 gene predicts greater weight loss in morbidly obese patients undergoing gastric banding.
Obes Surg. 2007 Jul;17(7):926-33.
PMID: 17894153 [PubMed - indexed for MEDLINE]
9:
Noun R, Zeidan S, Riachi E, Abboud B, Chalhoub V, Yazigi A.
Abstract
Mini-gastric bypass for revision of failed primary restrictive procedures: a valuable option.
Obes Surg. 2007 May;17(5):684-8. Erratum in: Obes Surg. 2007 Jul;17(7):996.
PMID: 17658031 [PubMed - indexed for MEDLINE]
10:
Rutledge R.
Abstract
Hospitalization before and after mini-gastric bypass surgery.
Int J Surg. 2007 Feb;5(1):35-40. Epub 2006 Aug 10.
PMID: 17386913 [PubMed - indexed for MEDLINE]
11:
Peraglie C.
Abstract
Mini-gastric bypass in a patient homozygous for Factor V Leiden.
Obes Surg. 2007 Jan;17(1):104-7.
PMID: 17355777 [PubMed - indexed for MEDLINE]
12:
Johnson WH, Fernanadez AZ, Farrell TM, Macdonald KG, Grant JP, McMahon RL, Pryor AD, Wolfe LG, DeMaria EJ.
Abstract
Surgical revision of loop ("mini") gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass.
Surg Obes Relat Dis. 2007 Jan-Feb;3(1):37-41. Epub 2006 Dec 27.
PMID: 17196443 [PubMed - indexed for MEDLINE]
13:
Stenström B, Furnes MW, Tømmerås K, Syversen U, Zhao CM, Chen D.
Abstract
Mechanism of gastric bypass-induced body weight loss: one-year follow-up after micro-gastric bypass in rats.
J Gastrointest Surg. 2006 Dec;10(10):1384-91.
PMID: 17175458 [PubMed - indexed for MEDLINE]
14:
Noun R, Zeidan S, Safa N.
Abstract
Laparoscopic latero-lateral jejuno-jejunostomy as a rescue procedure after complicated mini-gastric bypass.
Obes Surg. 2006 Nov;16(11):1539-41.
PMID: 17132422 [PubMed - indexed for MEDLINE]
15:
Rutledge R, Dorghazi P, Peralgie C.
Abstract
Efficacy of estradiol topical patch in the treatment of symptoms of depression following mini-gastric bypass in women.
Obes Surg. 2006 Sep;16(9):1221-6.
PMID: 16989708 [PubMed - indexed for MEDLINE]
16:
Chiu CC, Lee WJ, Wang W, Wei PL, Huang MT.
Abstract
Prevention of trocar-wound hernia in laparoscopic bariatric operations.
Obes Surg. 2006 Jul;16(7):913-8.
PMID: 16839493 [PubMed - indexed for MEDLINE]
17:
Rutledge R.
Abstract
Revision of failed gastric banding to mini-gastric bypass.
Obes Surg. 2006 Apr;16(4):521-3.
PMID: 16608620 [PubMed - indexed for MEDLINE]
18:
Livingston EH.
No Abstract
Is laparoscopic Roux-en-Y gastric bypass superior to mini-gastric bypass for the treatment of morbid obesity?
Nat Clin Pract Gastroenterol Hepatol. 2006 Jan;3(1):16-7. No abstract available.
PMID: 16397605 [PubMed]
19:
Rutledge R, Walsh TR.
Abstract
Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients.
Obes Surg. 2005 Oct;15(9):1304-8.
PMID: 16259892 [PubMed - indexed for MEDLINE]
20:
Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT.
Free in PMC
Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial.
Ann Surg. 2005 Jul;242(1):20-8.
PMID: 15973097 [PubMed - indexed for MEDLINE]
21:
Wang W, Wei PL, Lee YC, Huang MT, Chiu CC, Lee WJ.
Abstract
Short-term results of laparoscopic mini-gastric bypass.
Obes Surg. 2005 May;15(5):648-54.
PMID: 15946455 [PubMed - indexed for MEDLINE]
22:
Copăescu C, Munteanu R, Prala N, Turcu FM, Dragomirescu C.
Abstract
[Laparoscopic mini gastric bypass for the treatment of morbid obesity. Initial experience]
Chirurgia (Bucur). 2004 Nov-Dec;99(6):529-39. Romanian.
PMID: 15739671 [PubMed - indexed for MEDLINE]
23:
García-Caballero M, Carbajo M.
Abstract
One anastomosis gastric bypass: a simple, safe and efficient surgical procedure for treating morbid obesity.
Nutr Hosp. 2004 Nov-Dec;19(6):372-5.
PMID: 15672654 [PubMed - indexed for MEDLINE]
24:
Wang W, Huang MT, Wei PL, Chiu CC, Lee WJ.
Abstract
Laparoscopic mini-gastric bypass for failed vertical banded gastroplasty.
Obes Surg. 2004 Jun-Jul;14(6):777-82.
PMID: 15318981 [PubMed - indexed for MEDLINE]
25:
Rutledge R.
No Abstract
Similarity of Magenstrasse-and-Mill and Mini-Gastric bypass.
Obes Surg. 2003 Apr;13(2):318. No abstract available.
PMID: 12740148 [PubMed - indexed for MEDLINE]
26:
Fisher BL, Buchwald H, Clark W, Champion JK, Fox SR, MacDonald KG, Mason EE, Terry BE, Schauer PR, Sugerman HJ.
No Abstract
Mini-gastric bypass controversy.
Obes Surg. 2001 Dec;11(6):773-7. No abstract available.
PMID: 11775581 [PubMed - indexed for MEDLINE]
27:
Olchowski S, Timms MR, O'Brien P, Bauman R, Quattlebaum JK.
No Abstract
More on mini-gastric bypass.
Obes Surg. 2001 Aug;11(4):532. No abstract available.
PMID: 11501371 [PubMed - indexed for MEDLINE]
28:
Rutledge R.
Abstract
The mini-gastric bypass: experience with the first 1,274 cases.
Obes Surg. 2001 Jun;11(3):276-80.
PMID: 11433900 [PubMed - indexed for MEDLINE]












mini-gastric bypass - PubMed Results<br />









































Items 1 - 28 of 28

One page.

1:
Noun R, Riachi E, Zeidan S, Abboud B, Chalhoub V, Yazigi A.
Abstract
Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era.
Obes Surg. 2008 Feb 13; [Epub ahead of print]
PMID: 18270784 [PubMed - as supplied by publisher]
2:
Noun R, Riachi E, Zeidan S, Abboud B, Chalhoub V, Yazigi A.
Abstract
Mini-gastric bypass by mini-laparotomy: a cost-effective alternative in the laparoscopic era.
Obes Surg. 2007 Nov;17(11):1482-6.
PMID: 18219775 [PubMed - indexed for MEDLINE]
3:
Lee WJ, Wang W, Lee YC, Huang MT, Ser KH, Chen JC.
Abstract
Laparoscopic Mini-gastric Bypass: Experience with Tailored Bypass Limb According to Body Weight.
Obes Surg. 2008 Mar;18(3):294-9. Epub 2008 Jan 12.
PMID: 18193178 [PubMed - in process]
4:
Lee YC, Lee WJ, Lee TS, Lin YC, Wang W, Liew PL, Huang MT, Chien CW.
Abstract
Prediction of successful weight reduction after bariatric surgery by data mining technologies.
Obes Surg. 2007 Sep;17(9):1235-41.
PMID: 18074500 [PubMed - indexed for MEDLINE]
5:
Lee WJ, Wang W, Lee YC, Huang MT, Ser KH, Chen JC.
Abstract
Effect of Laparoscopic Mini-Gastric Bypass for Type 2 Diabetes Mellitus: Comparison of BMI >35 and <35 kg/m(2).
J Gastrointest Surg. 2007 Oct 16; [Epub ahead of print]
PMID: 17940829 [PubMed - as supplied by publisher]
6:
Chevallier JM.
No Abstract
[Commentary. Invited comment on the article by Noun et al. about Laparoscopic mini-gastric bypass...]
J Chir (Paris). 2007 Jul-Aug;144(4):305-6. French. No abstract available. Erratum in: J Chir (Paris). 2007 Nov-Dec;144(6):566.
PMID: 17925735 [PubMed - indexed for MEDLINE]
7:
Noun R, Zeidan S.
Abstract
[Laparoscopic mini-gastric bypass: an effective option for the treatment of morbid obesity]
J Chir (Paris). 2007 Jul-Aug;144(4):301-4. French.
PMID: 17925734 [PubMed - indexed for MEDLINE]
8:
Chen HH, Lee WJ, Wang W, Huang MT, Lee YC, Pan WH.
Abstract
Ala55Val polymorphism on UCP2 gene predicts greater weight loss in morbidly obese patients undergoing gastric banding.
Obes Surg. 2007 Jul;17(7):926-33.
PMID: 17894153 [PubMed - indexed for MEDLINE]
9:
Noun R, Zeidan S, Riachi E, Abboud B, Chalhoub V, Yazigi A.
Abstract
Mini-gastric bypass for revision of failed primary restrictive procedures: a valuable option.
Obes Surg. 2007 May;17(5):684-8. Erratum in: Obes Surg. 2007 Jul;17(7):996.
PMID: 17658031 [PubMed - indexed for MEDLINE]
10:
Rutledge R.
Abstract
Hospitalization before and after mini-gastric bypass surgery.
Int J Surg. 2007 Feb;5(1):35-40. Epub 2006 Aug 10.
PMID: 17386913 [PubMed - indexed for MEDLINE]
11:
Peraglie C.
Abstract
Mini-gastric bypass in a patient homozygous for Factor V Leiden.
Obes Surg. 2007 Jan;17(1):104-7.
PMID: 17355777 [PubMed - indexed for MEDLINE]
12:
Johnson WH, Fernanadez AZ, Farrell TM, Macdonald KG, Grant JP, McMahon RL, Pryor AD, Wolfe LG, DeMaria EJ.
Abstract
Surgical revision of loop ("mini") gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass.
Surg Obes Relat Dis. 2007 Jan-Feb;3(1):37-41. Epub 2006 Dec 27.
PMID: 17196443 [PubMed - indexed for MEDLINE]
13:
Stenström B, Furnes MW, Tømmerås K, Syversen U, Zhao CM, Chen D.
Abstract
Mechanism of gastric bypass-induced body weight loss: one-year follow-up after micro-gastric bypass in rats.
J Gastrointest Surg. 2006 Dec;10(10):1384-91.
PMID: 17175458 [PubMed - indexed for MEDLINE]
14:
Noun R, Zeidan S, Safa N.
Abstract
Laparoscopic latero-lateral jejuno-jejunostomy as a rescue procedure after complicated mini-gastric bypass.
Obes Surg. 2006 Nov;16(11):1539-41.
PMID: 17132422 [PubMed - indexed for MEDLINE]
15:
Rutledge R, Dorghazi P, Peralgie C.
Abstract
Efficacy of estradiol topical patch in the treatment of symptoms of depression following mini-gastric bypass in women.
Obes Surg. 2006 Sep;16(9):1221-6.
PMID: 16989708 [PubMed - indexed for MEDLINE]
16:
Chiu CC, Lee WJ, Wang W, Wei PL, Huang MT.
Abstract
Prevention of trocar-wound hernia in laparoscopic bariatric operations.
Obes Surg. 2006 Jul;16(7):913-8.
PMID: 16839493 [PubMed - indexed for MEDLINE]
17:
Rutledge R.
Abstract
Revision of failed gastric banding to mini-gastric bypass.
Obes Surg. 2006 Apr;16(4):521-3.
PMID: 16608620 [PubMed - indexed for MEDLINE]
18:
Livingston EH.
No Abstract
Is laparoscopic Roux-en-Y gastric bypass superior to mini-gastric bypass for the treatment of morbid obesity?
Nat Clin Pract Gastroenterol Hepatol. 2006 Jan;3(1):16-7. No abstract available.
PMID: 16397605 [PubMed]
19:
Rutledge R, Walsh TR.
Abstract
Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients.
Obes Surg. 2005 Oct;15(9):1304-8.
PMID: 16259892 [PubMed - indexed for MEDLINE]
20:
Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT.
Free in PMC
Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial.
Ann Surg. 2005 Jul;242(1):20-8.
PMID: 15973097 [PubMed - indexed for MEDLINE]
21:
Wang W, Wei PL, Lee YC, Huang MT, Chiu CC, Lee WJ.
Abstract
Short-term results of laparoscopic mini-gastric bypass.
Obes Surg. 2005 May;15(5):648-54.
PMID: 15946455 [PubMed - indexed for MEDLINE]
22:
Copăescu C, Munteanu R, Prala N, Turcu FM, Dragomirescu C.
Abstract
[Laparoscopic mini gastric bypass for the treatment of morbid obesity. Initial experience]
Chirurgia (Bucur). 2004 Nov-Dec;99(6):529-39. Romanian.
PMID: 15739671 [PubMed - indexed for MEDLINE]
23:
García-Caballero M, Carbajo M.
Abstract
One anastomosis gastric bypass: a simple, safe and efficient surgical procedure for treating morbid obesity.
Nutr Hosp. 2004 Nov-Dec;19(6):372-5.
PMID: 15672654 [PubMed - indexed for MEDLINE]
24:
Wang W, Huang MT, Wei PL, Chiu CC, Lee WJ.
Abstract
Laparoscopic mini-gastric bypass for failed vertical banded gastroplasty.
Obes Surg. 2004 Jun-Jul;14(6):777-82.
PMID: 15318981 [PubMed - indexed for MEDLINE]
25:
Rutledge R.
No Abstract
Similarity of Magenstrasse-and-Mill and Mini-Gastric bypass.
Obes Surg. 2003 Apr;13(2):318. No abstract available.
PMID: 12740148 [PubMed - indexed for MEDLINE]
26:
Fisher BL, Buchwald H, Clark W, Champion JK, Fox SR, MacDonald KG, Mason EE, Terry BE, Schauer PR, Sugerman HJ.
No Abstract
Mini-gastric bypass controversy.
Obes Surg. 2001 Dec;11(6):773-7. No abstract available.
PMID: 11775581 [PubMed - indexed for MEDLINE]
27:
Olchowski S, Timms MR, O'Brien P, Bauman R, Quattlebaum JK.
No Abstract
More on mini-gastric bypass.
Obes Surg. 2001 Aug;11(4):532. No abstract available.
PMID: 11501371 [PubMed - indexed for MEDLINE]
28:
Rutledge R.
Abstract
The mini-gastric bypass: experience with the first 1,274 cases.
Obes Surg. 2001 Jun;11(3):276-80.
PMID: 11433900 [PubMed - indexed for MEDLINE]

Items 1 - 28 of 28


One page.