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A 6-year experience with 1,054 mini-gastric bypasses-first study from Indian subcontinent
K S Kular1, N Manchanda, R Rutledge
1Department of Metabolic & Bariatric Surgery, Kular College & Hospital, Kular Medical Education & Research Society, NH 1, Bija, Khanna, Ludhiana, Punjab, India, drkskular@gmail.com.
Obesity Surgery
|April 1, 2014
Summary
Laparoscopic mini-gastric bypass (MGB) is a safe and effective bariatric surgery in India, demonstrating significant sustained weight loss and high patient satisfaction with a low complication rate.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Laparoscopic mini-gastric bypass (MGB) introduced in India in 2007.
- MGB is known for its safety, efficacy, and reversibility.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic mini-gastric bypass (MGB).
- To assess weight loss outcomes and complication rates of MGB in an Indian population.
Main Methods:
- Retrospective review of prospectively maintained data.
- Analysis of 1,054 consecutive MGB patients from February 2007 to January 2013.
- Inclusion of patient demographics, operative details, and complication data.
Main Results:
- Mean excess weight loss exceeded 84% from year 1 to 6.
- Low complication rates: 4.6% early minor, 1.3% major, 0.2% leaks.
- Anemia (7.6%) was the most frequent late complication; MGB easily reversed in 0.2% of cases.
Conclusions:
- Laparoscopic mini-gastric bypass (MGB) is a safe procedure with a short hospital stay.
- MGB leads to effective and sustained weight loss with high resolution of comorbidities.
- High patient satisfaction and manageable complications are key benefits of MGB.
