Mini Gastric Bypass (mgb)/ One Anastomosis Gastric Bypass (oagb): from the Dark Days to Golden Dawn
نویسنده
چکیده
It was in 2001 when Dr. Rutledge reported the first results with 1274 cases concerning a new surgical procedure addressing obesity: MGB1. For us, bariatric surgeons implementing Roux-en-Y Gastric Bypass (RYGB), this fact was surprising, given the disappearance of two of the RYGB main concepts: the alimentary limb and the jejuno-jejunal anastomosis. Those who, like me, have experienced this surgical procedure for obesity, have encountered serious complications and undesirable effects related to this gastrointestinal model. MGB was born as an easier option, resulting in fewer perioperative and postoperative complications and better weight results, which leaded to greater comorbidities control and higher standard of life quality. However, the ruthless criticism from North American colleagues abruptly ended the initial expectations.
منابع مشابه
Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame
Methods: This retrospective multicenter observational study is based on the data extracted from the Italian Society of Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database, which covers almost all the bariatric operations performed in Italy. We analysed the 30 days post-operative complications occurring, in the period from 2009 to 2015, after Roux-en-Y Gastric Bypass (RYGB), Sleeve Ga...
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To the Editor: After performing many of the alternatives in bariatric surgery during more than two decades, we read with interest the initial ideas Dr. Rutledge proposed in regard to the Bmini-gastric bypass^ (MGB) and embraced the possibility of performing a very effective operation with fewer risks [1]. Concerned about its major criticism, wemodified the original version of theMGB in order to...
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BACKGROUND Excellent results have been reported with mini-gastric bypass. We adopted and modified the one-anastomosis gastric bypass (OAGB) concept. Herein is our approach, results, and long-term follow-up (FU). METHODS Initial 1200 patients submitted to laparoscopic OAGB between 2002 and 2008 were analyzed after a 6-12-year FU. Mean age was 43 years (12-74) and body mass index (BMI) 46 kg/m2...
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The technically easier one-anastomosis (mini) gastric bypass (MGB) is associated with similar metabolic improvements and weight loss as the Roux-en-Y gastric bypass (RYGB). However, MGB is controversial and suspected to result in greater malabsorption than RYGB. In this study, we compared macronutrient absorption and intestinal adaptation after MGB or RYGB in rats. Body weight and food intake w...
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