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.com
Volume 7, Issue 6 (Suppl)
J Obes Weight Loss Ther
ISSN: 2165-7904 JOWT, an open access journal
Obesity Meeting 2017
October 23-24, 2017
October 23-24, 2017 Dubai, UAE
14
th
Global Obesity Meeting
One anastomosis gastric bypass (mini-gastric bypass) for the treatment of morbid obesity
Ayman Abouleid
King Fahd Military Medical Complex, Saudi Arabia
T
he prevalence of obesity and related health problems, known as metabolic syndrome, is increasing. Worldwide, over 600
million adults are obese, with a body mass index (BMI) of 30 kg/m
2
or more. In many developing countries, the adoption
of a Western lifestyle, characterized by decreased physical activity and high caloric intake, is contributing to an alarming
problem. Countries of the Middle East and North Africa (MENA) Region now have the highest rates of diabetes in the world.
Bariatric surgery is safe with observed in-hospital mortality rate less than 1% and recorded surgical complication rate between
3-7% which is much lower than that for many other planned operations. Mini gastric bypass (MGB) is gaining popularity
throughout the world. Nowadays it represents the 3
rd
most common bariatric procedure after Roux-en-Y gastric bypass
(RYGB) and sleeve gastrectomy. The recent survey of the MGB Surgeons Club recorded over 40,000 cases of MGB performed
worldwide. Patients are selected to have MGB if they do not have symptomatic Gastro-oesophageal reflux disease/or Hiatus
Hernia proven by the pre-operative endoscopy. A long gastric pouch was created. Dissection was started at incisura and the
first firing was carried out with stapler pointing towards the left iliac fossa. A 36 French oro-gastric tube was used for pouch
calibration in most cases. A loop of small bowel 150-200 cm from DJ flexure was then brought up to the gastric pouch in an
ante colic, ante gastric fashion and anastomosed to it. Patients were allowed sips of water on day 0, 1.0 liters of water to drink on
day 1 and allowed home on day 2 on pureed diet. Food consistency was gradually increased over the next few months. Routine
supplementation with iron, calcium, vitamin D, vitamin B12 and multivitamins were given. Early complications are recorded
in 3-4% of patients including leak, bleeding or re-operation. Mortality rate is less than 0.2%. The rate of marginal ulcers is
between 4-7%. Excess weight loss recorded ranges from 65 to 80%. Resolution of diabetes and hypertension is recorded in
80 to 100%. One anastomosis gastric bypass (mini-gastric bypass) shows early safety and efficacy for the treatment of morbid
obesity and associated health problems.
ayman_abouleid@hotmail.comJ Obes Weight Loss Ther 2017, 7:6 (Suppl)
DOI: 10.4172/2165-7904-C1-052