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Ten Crucial Steps for the MGB Operation

Authors :
S. Shivakumar
Anmol Ahuja
Ghanshyam Goyal
Shashi Khanna
Om Tantia
Tamonas Chaudhuri
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