New gastric bypass procedure deserved mention



  • The mini-gastric bypass has been proposed as a bariatric surgery method. The controversial procedure is performed laparoscopically and is similar to the Roux-en-Y technique except that, after the division of the stomach, a jejunal loop is created and anastomosed to the gastric pouch. Complications include biliary reflux and esophagitis. Evidence supporting the use of the mini-gastric bypass is in the form of small case series (Rutledge, 2001) and one small randomized open comparison of the procedure to [laparoscopic] RYGB (Lee, et al, 2005). The authors reported similar efficacy in terms of excess weight loss (EWL) at 2 years. However, longer-term follow-up with regard to the risk of complications is recommended by the investigators. There is insufficient evidence in the published, peer-reviewed scientific literature to support the safety and efficacy of the mini-gastric bypass.2-4

I congratulate Ms. Grechus on her successful weight loss and commend all patients who challenge themselves to reverse the devastation of morbid obesity. The bariatric approach can be life saving when all other resources have failed.

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