Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients
10.17476/jmbs.2019.8.2.43
- Author:
Chae Dong LIM
1
;
Sang Hyun KIM
;
Yong Jin KIM
Author Information
1. Department of Surgery, Soonchunhyang University Hospital Seoul, Soonchunhyang University School of Medicine, Korea. ssan77@naver.com
- Publication Type:Original Article
- Keywords:
Mini-gastric Bypass;
Bariatric surgery;
Metabolic Surgery;
Morbid Obesity
- MeSH:
Bariatric Surgery;
Body Mass Index;
Carcinoma, Renal Cell;
Comorbidity;
Demography;
Diabetes Mellitus, Type 2;
Dyslipidemias;
Follow-Up Studies;
Gastric Bypass;
Hernia;
Humans;
Hypertension;
Jejunum;
Laparoscopy;
Length of Stay;
Ligaments;
Liver;
Male;
Mortality;
Nephrectomy;
Obesity, Morbid;
Operative Time;
Peritoneal Cavity;
Postoperative Hemorrhage;
Surgical Instruments;
Weight Loss
- From:Journal of Metabolic and Bariatric Surgery
2019;8(2):43-49
- CountryRepublic of Korea
- Language:English
-
Abstract:
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/m². 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.
