Mini-Gastric Bypass Significantly Better than Sleeve

Mini-Gastric Bypass Roughly Twice as good as the Sleeve gastrectomy for type 2 diabetes mellitus: Double-blind randomized controlled trial. Remission of T2DM was achieved by 28 (93%) in the gastric bypass group and 14 (47%) in the sleeve gastrectomy group (P = .02). Participants randomized to mini-gastric bypass were more likely to achieve remission of …

Sleeve Gastrectomy; Another Bad Idea

In the present study, Sleeve Gastrectomy showed persistence of GERD symptoms in patients with GERD preoperatively. Also, patients who did not have GERD preoperatively had an increased risk of postoperative GERD symptoms after Sleeve!!Amplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2011 Mar;21(3):295-9.Symptoms of gastroesophageal reflux following laparoscopic sleeve gastrectomy are related to the final shape of the sleeve …

Magenstrasse and Mill vs Sleeve vs

Magenstrasse and Mill vs Sleeve vs Mini-Gastroplasty Weight loss 57 to 100 lbs mean 78 for the MM Weight loss for the Sleeve 76 to 81mean 78 Roughly equal to the Mini-Gastroplasty (~74 lbs)Amplify’d from http://www.ncbi.nlm.nih.govConn Med. 2010 Nov-Dec;74(10):589-93.Magenstrasse and Mill gastroplasty and sleeve gastrectomy as treatment for morbid obesity.Arroyo K, Alkoury F, Nadzam G, …

Failed Revision of RNY

Weight regain after Roux-en-Y gastric bypass (RYGB) is increasingly reported in the bariatric literature.!!! For RYGB patients who regained weight, laparoscopic gastrojejunal sleeve reduction does not seem to offer a major therapeutic benefit. Additional malabsorptive Roux lengthening also does not provide a significant benefit.Amplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2010 Sep 11. [Epub ahead of print]Laparoscopic "Gastrojejunal …

Leak After Sleeve Gastrectomy

Early complications were noted in 23 cases (10.0%), including 10 cases of leak (4.3%) and 10 cases of hemorrhage (4.3%). In 17 cases (7.4%) reoperations were performed.Amplify’d from http://www.ncbi.nlm.nih.govSurg Endosc. 2010 Jun 5. [Epub ahead of print]Impact of surgeon experience and buttress material on postoperative complications after laparoscopic sleeve gastrectomy.Daskalakis M, Berdan Y, Theodoridou S, …

Sleeve Gastrectomy; Leak Rate 4%!

Sleeve Gastrectomy; Leak Rate 4%!Amplify’d from http://www.ncbi.nlm.nih.govSurg Laparosc Endosc Percutan Tech. 2010 Oct;20(5):351-6.Revisional surgery after sleeve gastrectomy.Lacy A, Obarzabal A, Pando E, Adelsdorfer C, Delitala A, Corcelles R, Delgado S, Vidal J.*Department of Surgery †Department Endocrinology, ICMDM, Hospital Clinic of Barcelona, Barcelona, Spain.AbstractINTRODUCTION: Worldwide, morbid obesity incidence has increased dramatically in the last decade and …