Objective
To evaluate laparoscopic Mini-Gastric Bypass in the treatment of morbid obesity.
Patients and Methods
Thirty patients with a mean BMI of 41.84±5 Kg/M2 underwent a laparoscopic Mini-Gastric Bypass between March 2005 and February 2006. A laparoscopic approach with five trocar incisions was used to create a long narrow gastric tube; this was then anastomosed ante-colically to a loop of jejunum 200 cm. distal to the ligament of Treitz Peri-operative and short-term follow-up results up to May 2006 are reported.
Results
Conversion to open mini-gastric bypass was necessary in one case (3.3 % ). Mean operative time was 135±45 minutes. There were no deaths.There were no anastomotic leakages. Two patients developed obstruction at the gastrojejunostomy requiring laparoscopic correction in one case and accounting for an overall morbidity of 6.6 % . Mean hospital stay was 30±25 days. One patient developed marginal ulcer which resolved with medical treatment; no patients developed symptoms of reflux esophagitis. Mean loss of excess weight was 67.6 % at one year and was accompanied by resolution of obesity-associated medical illness in 85 % of patients.
Conclusion
Laparoscopic Mini-Gastric Bypass is a technically simple, safe, and effective procedure in the treatment of morbid obesity and its associated medical illnesses. Moreover, the procedure is easily reversible laparoscopically when post-operative complication occurs.