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Ten Crucial Steps for the MGB Operation
- Source :
- Essentials of Mini ‒ One Anastomosis Gastric Bypass ISBN: 9783319761763
- Publication Year :
- 2018
- Publisher :
- Springer International Publishing, 2018.
-
Abstract
- The mini-gastric bypass (MGB) was introduced by Dr. Robert Rutledge in USA in 1997. It is a safe, rapid and effective bariatric operation. The MGB has slowly gained proponents throughout the world, particularly increasing in the past 5 years. The laparoscopic operation creates two components: first, a mildly restrictive lesser-curvature gastric pouch; second, a 150–200 cm long jejunal bypass with a single antecolic gastro-jejunostomy anastomosis, which leads to significant fat malabsorption. We hereby share our steps in operative technique. MGB was performed using five trocars. The steps include creation of a lesser omental window, creation of gastric pouch, gastrotomy, measuring the bypass limb, enterotomy and gastro-jejunostomy, followed by leak test. MGB is an excellent surgical modality for treatment of morbid obesity and its co-morbidities, with results even better than Roux-en- Y Gastric Bypass. However, it is very important to follow the correct steps to avoid complications.
Details
- ISBN :
- 978-3-319-76176-3
- ISBNs :
- 9783319761763
- Database :
- OpenAIRE
- Journal :
- Essentials of Mini ‒ One Anastomosis Gastric Bypass ISBN: 9783319761763
- Accession number :
- edsair.doi...........f2e7e374179324a851ede667a0f4e714