Evaluating the Efficacy of Laparoscopic mini-gastric Bypass Operation in Reducing Weight among Obese Patients

Document Type : Original Article

Authors

1 Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

2 Department of Surgery, Suez Canal Authority Hospital, Ismailia, Egypt

Abstract

Background: Obesity is known to be an increasing health concern recently in both developed and developing countries. Its medical importance peaked after been recognized globally as a disease of its own in addition to being a major predisposing factor for chronic diseases. Obesity is now increasing in prevalence in adults, adolescents, and children, and is now considered to be a global epidemic. Surgical treatment for obesity in the form of bariatric and metabolic operations has revolutionized our approach in treating obesity and prevent/treat its complications. Laparoscopic mini-gastric bypass operation emerged recently among bariatric operations and proved itself as an efficient and safe operation. Aim: To evaluate the ability of laparoscopic mini-gastric bypass in reducing weight among obese patients. Subjects and Methods: A sample of 40 individuals with a body mass index (BMI) greater than 35 kg/m2 was randomly selected from the obesity clinic, Suez Canal University teaching hospital, city of Ismailia, Egypt. The patients underwent laparoscopic mini-gastric bypass operation and were offered a follow up for a period of 12 months. Results: The mean BMI of the patients declined from 49.2 kg/m2 preoperatively to 34.2 kg/m2 at the end of the follow-up. This was associated with a dramatic increase in the mean percent excess body weight loss (%EWL) from 20% early postoperatively to 71% at the end of follow up (p < /em> <0.05). There was no mortality among the patients and the complications were minimal and self-limiting. Conclusions: Laparoscopic mini-gastric bypass had proved itself to be a safe and effective operation in reducing weight.
 

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