Mini Gastric Bypass/Single anastomosis Gastric By-pass

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Mini Gastric Bypass
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What is mini gastric bypass surgery???
The Mini-Gastric Bypass or single anastomosis
gastric bypass, is an effective and
well-established procedure which combines some of
the properties of a gastric sleeve and a standard
gastric bypass. The upper part of the stomach is
divided into a tube, similar to the top three
quarters of a sleeve, and then joined to a loop
of intestine. The mini-gastric bypass can be
used as a primary weight loss procedure. It can
also be used in patients who have had previous
gastric banding or sleeve surgery but have been
unsuccessful with weight loss, or who have had
band-related complications and have decided on
revision surgery. It is not ideally suited to
patients with symptoms of reflux disease (severe
heartburn that needs medication). Mini-Gastric-By
passIn this operation the top of the stomach is
stapled to form a thin tube (30ml to 50ml in
size). The thin tube becomes the new, smaller
stomach and is completely separate to the rest of
the stomach. This stomach is then sewn to a loop
of the small intestine, bypassing the first part
of the intestine called the duodenum and
approximately 150200cm of the bowel. The rest of
the stomach and upper part of the small intestine
remains in the body but is no longer used for
food digestion.
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How it is Perfomed ?
Mini Gastric bypass surgery is performed under
general anaesthesia. Your surgeon makes several
small incisions on your abdomen. A laparoscope, a
thin instrument with a light and camera on the
end, is inserted through one of the incisions,
allowing your surgeon to clearly view the
internal organs on a monitor. Small surgical
instruments are inserted through the other
incisions to perform the surgery. The first step
is to reduce the size of the stomach so that it
holds less food. The stomach is converted into a
long slender pouch up to the antral part by
stapling. The second step of the surgery
involves the creation of a bypass for food to
flow from the new stomach pouch. A loop of small
intestine preferably between 150 and 250 cms is
chosen for anastomosis depending upon the surgeon
and the metabolic condition of the patient. The
middle section of intestine is attached to the
opening in the stomach pouch creating what is
referred to as the "omega loop". The loop enables
food to bypass the lower stomach, duodenum, and a
portion of the small intestine. At the end of the
procedure, the incisions are closed with sutures
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Advantages

• Mini Gastric bypass surgery can help you lose
  about 5 to 10 kilograms a month in the first year
  following surgery. You will gradually lose more
  weight by eating a healthy diet and participating
  in regular exercise.
• The surgery also helps you resolve
  obesity-related health conditions more
  aggressively.
• Unlike the RYGB, it is easily possible to fully
  reverse the procedure due to the simplicity of
  the primary procedure
• With such a short procedure time and hospital
  stay, you can expect the overall recovery to be
  quicker than other procedures. Provided there are
  no complications, most patients are able to
  return to work in one to two weeks.

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Risks and Complications

• As with any surgery there are potential risks and
  complications involved. Complications associated
  with Mini Gastric Bypass include
• Problems associated with anaesthesia
• Bleeding
• Infection
• Leaks in your gastrointestinal tract
• Deep vein thrombosis (blood clot in the leg)
• Dumping syndrome leading to diarrhoea and nausea
• Intractable Bile Reflux
• Gallstones
• Malnutrition
• Marginal Ulcers

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• Meet Dr Shashank Shah - Best Bariatric Surgeon in
  India Located in Pune
• M.B.B.S., M.S., FAIS, Honorary FMAS, Honorary
  FIAGES, Honorary FALS,Honorary FMBS, Dip.
  Visiting Prof. France, Medical Council Reg. No.
  61837
• Holds many world records

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Thank you
For obesity related problems
91-7277557755 91-9021912223
drshashankshah_at_rediffmail.com
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