Outcomes of Mini vs Roux-en-Y gastric bypass: A meta-analysis and systematic review

Wang, Fugang; Yan, Wenmao; Yan, Ming; Song, Man

doi:10.1016/j.ijsu.2018.05.009

Cited by 65 publications

(45 citation statements)

References 44 publications

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“…The estimated blood loss was 50.7 (0-100) ml, similar to that in another study (mean 39.8 ml) [22]. The postoperative hospital stay was 1.9 (1-4) days, which seems shorter than that in other studies (about 2-7.1 days) [14]. In several studies, the simplified surgical processes of LMGB resulted in a shorter operative time, less blood loss, and shorter hospitalization than LRYGB [22][23][24].…”

Section: Discussionsupporting

confidence: 83%

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Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients

Lim

Kim

Kim³

2019

J Metab Bariatr Surg

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Purpose: To report our initial experience with laparoscopic mini-gastric bypass (LMGB) in Korean obese patients. Materials and Methods: From July 2016 to February 2018, 14 male patients underwent LMGB for morbid obesity at a single institution. Five trocars were placed in a U-shape formation and 1 trocar was placed at the epigastrium as a liver retractor; a window was created between the vagal nerve and lesser curvature at the gastric angle for entering the lesser sac; a narrow gastric tube (∼100-120 ml volume) was made; a linear-stapled gastrojejunostomy was created after bypassing the jejunum 200 cm from the Treitz' ligament; and the Petersen defect was closed to prevent internal hernia. Patient demographics, operative time, estimated blood loss, postoperative hospital stay, complications, weight loss, and resolution of comorbidities were evaluated during 1 year of follow-up. Results: All procedures were successful by laparoscopy. The average age was 29 (19-49) years; weight, 164.9 (127-250) kg; and body mass index, 51.0 (42.4-81.6) kg/m 2. In 1 case, nephrectomy was simultaneously performed for early renal cell carcinoma. The mean operative time was 148.8 (120-175) min. The mean postoperative hospital stay was 1.9 (1-4) days. The percentage excess weight loss at 1, 3, 6, 9, and 12 months was 16.6%, 31.0%, 41.4%, 45.4%, and 50.4%, respectively. The resolution rate of type 2 diabetes mellitus, hypertension, and dyslipidemia was 75%, 40%, and 66.7%, respectively. There was no major complication including mortality during the follow-up. Conclusion: LMGB is a technically simple, safe, and effective procedure in Korean obese patients.

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Section: Discussionsupporting

confidence: 83%

“…In terms of the impact of LMGB on comorbidities, our study showed that 3 of 4 (75%) patients had remission of [14].…”

Section: Discussionmentioning

confidence: 72%

Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients

Lim

Kim

Kim³

2019

J Metab Bariatr Surg

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“…11 Increasingly, evidence reveals that the risk of long-term complications of MGB is less and that the metabolic effects are better than Roux-en-Y gastric bypass. 12,13 A meta-analysis published by Wang et al showed that MGB has multiple advantages over Roux-en-Y gastric bypass. 13 These advantages are a higher 1-year excess weight loss (EWL), higher 2-year EWL, higher type II DM remission rate, and a shorter operation time.…”

Section: Discussionmentioning

confidence: 99%

“…12,13 A meta-analysis published by Wang et al showed that MGB has multiple advantages over Roux-en-Y gastric bypass. 13 These advantages are a higher 1-year excess weight loss (EWL), higher 2-year EWL, higher type II DM remission rate, and a shorter operation time. In terms of long-term results, such as %EWL and type II DM remission, MGB might be superior to laparoscopic SG also.…”

Section: Discussionmentioning

confidence: 99%

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Bridged Mini Gastric Bypass: A Novel Metabolic and Bariatric Operation

SumerAziz

AtasoyDeniz

BarbarosUmut

et al. 2019

Bariatric Surgical Practice and Patient Care

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In this article, we aimed to report the first five cases of laparoscopic bridged mini gastric bypass (BMGB) in the treatment of obesity and type II diabetes mellitus (DM). Presentation of Cases: We have performed five cases with a new modified surgical method that we call a BMGB. The patients' recoveries were uneventful. The weight losses of the patients were 15, 13, 14, 11, and 13 kg subsequently and with complete normalization of all metabolic parameters at first month of follow-up. Discussion: The BMGB was modified from the mini gastric bypass and resulted with the same nutritional results, less surgical complications, and a possible advantage of remaining access to the remnant stomach. Conclusion: BMGB may be as effective and possibly an even easier operation to treat obesity and uncontrolled type II DM with possible advantages over currently available metabolic procedures.

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Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

Mechanick

Apovian

Brethauer

et al. 2020

Obesity

339

464

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Objective The development of these updated clinical practice guidelines (CPGs) was commissioned by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists. Methods Each recommendation was evaluated and updated based on new evidence from 2013 to the present and subjective factors provided by experts. Results New or updated topics in this CPG include: contextualization in an adiposity‐based chronic disease complications‐centric model, nuance‐based and algorithm/checklist‐assisted clinical decision‐making about procedure selection, novel bariatric procedures, enhanced recovery after bariatric surgery protocols, and logistical concerns (including cost factors) in the current health care arena. There are 85 numbered recommendations that have updated supporting evidence, of which 61 are revised and 12 are new. Noting that there can be multiple recommendation statements within a single numbered recommendation, there are 31 (13%) Grade A, 42 (17%) Grade B, 72 (29%) Grade C, and 101 (41%) Grade D recommendations. There are 858 citations, of which 81 (9.4%) are evidence level (EL) 1 (highest), 562 (65.5%) are EL 2, 72 (8.4%) are EL 3, and 143 (16.7%) are EL 4 (lowest). Conclusions Bariatric procedures remain a safe and effective intervention for higher‐risk patients with obesity. Clinical decision‐making should be evidence based within the context of a chronic disease. A team approach to perioperative care is mandatory, with special attention to nutritional and metabolic issues.

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Outcomes of Mini vs Roux-en-Y gastric bypass: A meta-analysis and systematic review

Cited by 65 publications

References 44 publications

Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients

Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients

Bridged Mini Gastric Bypass: A Novel Metabolic and Bariatric Operation

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