IBCOx-8 Bile reflux after laparoscopic mini-gastric bypass; Is it really a major concern?

Abstract Background Laparoscopic mini gastric bypass MGB, first performed in late 1990s, become a popular bariatric procedure with proven comparable efficiency. Its popularity can be explained by many factors including: its technical simplicity and efficacy weight loss compared to RYGB, superiority controlling metabolic syndrome restrictive procedures as revision surgery for failed procedures. However, debates still exist among experts regarding complications; mainly bile reflux consequences. We presented our experience, tertiary university institute dealing complications after laparoscopic that necessitated endoscopic and/or operative interventions. Methods This is retrospective study of all cases who were admitted hospital because related one year duration. Results Three complications. The case hemorrhagic shock due massive hemorrhage at marginal ulcer 26 days bypass. second was re-operated electively intractable failure medical treatment. third peritonitis on top perforated seven month Conclusion Despite claimed safety efficacy, not the no-morbidities. Incidence postoperative under-estimated. All patients should undergo regular endoscopy assess it even if asymptomatic.