Mini-Gastric Bypass

Mini-Gastric Bypass surgery is a simple and effective operation for weight loss.

If you are overweight, especially in combination with type II diabetes, have tried different ways to lose weight, but do not see a lasting result, mini-gastric bypass surgery is one of the easiest and most effective methods to achieve this goal.

What is Mini-Gastric Bypass surgery

Mini-Gastric Bypass (MGB) surgery is performed under general anesthesia by laparoscopic method through several punctures, therefore, it does not require the installation of additional drainages or probes both in the stomach and abdomen.

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During the operation, the surgeon separates (but does not remove) most of the stomach. It, together with the duodenum and part of the small intestine, is excluded from the digestive process. Therefore, food immediately passes from the "small" stomach to the small intestine.

Compared to classic gastric bypass, mini-gastric bypass surgery is faster, easier tolerated by patients, moreover mini-gastric bypass surgery reduces postoperative risks. The operation itself lasts only 1-2 hours, and in a few hours after the procedure, the patient can get out of bed and move independently.

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Andrian Reitis` comment

PhD in Medicine,
Chief Surgeon of the Center for Metabolic Surgery

During the operation, we change the way food passes through the gastro-intestinal tract. Mini-gastric bypass surgery works in two directions at once: the first one is the reducing the stomach’s volume, the second one is the exclusion from the process of absorption part of the small intestine. This is a significant advantage of mini-gastric bypass surgery in comparison, for example, with the sleeve resection, which works in only one direction - to reduce the volume of the stomach

After the mini-gastric bypass surgery, the patient consumes smaller portions of food due to the reduced the size of the stomach, while feeling a sense of fullness. And the exclusion from the process of absorption part of the small intestine (usually 150-200 cm) limits the absorption of nutrients. As a result, the amount of food decreases, you feel a sense of fullness, and the feeling of hunger comes later.

Indications for mini-gastric bypass surgery

The main indications for such surgery are:

Advantages of mini-gastric bypass surgery

This is the third most popular bariatric surgery, but it provides the best weight loss results. On average, patients lose up to 27-30% of excess weight per year. Among the main advantages of this technique are:

At the same time, as with any other bariatric surgery, several nuances must be taken into account. In the distant postoperative period, muscle pain is possible, and in some cases a specific complication as peptic ulcers can occur. Also, if you decide on a mini-gastric bypass surgery, keep in mind that this technique involves lifelong intake of vitamins and constant monitoring of their level.

Mini-gastric bypass surgery for the treatment of type II diabetes mellitus

Today, in many countries around the world, bariatric surgery is included in national guidelines for the treatment of diabetes mellitus. According to recent scientific studies, the exclusion from the passage of food in the duodenum contributes to the normalization of carbohydrate metabolism and stimulates insulin synthesis. And weight loss only additionally activates these processes.

In this context, mini-gastric bypass surgery provides several advantages at once:

1. The effect of gastric bypass surgery in the treatment of diabetes is noticeable literally in the first week after the operation, in contrast to the obstructive approach (aimed at reducing the portion, such as sleeve resection).

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2. The result does not depend on the number of kilograms lost. For example, with a sleeve resection, diabetes will recede only if you lose 5 to 20 kilograms of excess weight. But with mini-gastric bypass surgery, the number of kilograms lost does not matter: the patient can lose both one kilogram or 20 kilograms, a significant improvement will be observed in any case.

General contraindications to mini-gastric bypass surgery

Among the specific contraindications are abdominal operations, especially in the lower parts (adhesions are possible), as well as polyps and ulcers in the pyloric area of the stomach (out of the stomach) and in the duodenum.

How is the recovery process going on

After surgery, you need to adhere to the special recommendations of a bariatric nutritionist. Our specialist is in close contact with each patient during the entire recovery period, monitors the state of health, the level of vitamins and trace elements, if necessary, corrects the intake scheme. You will receive clear recommendations on nutrition, physical activity, rehabilitation period and will gradually enter a new rhythm of life without extra kilograms and comorbidities.

The treatment of obesity and the path to a healthy life always begins with a doctor's consultation, a full diagnostic and laboratory examination. This is the key to safe weight loss and long-lasting results. You can always get professional advice, get an examination and get high-quality medical care at our Metabolic Surgery Center.

Take the first step towards weight loss - make an appointment with a bariatric surgeon!

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кандидат медичних наук, головний хірург Центру метаболічної хірургії

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