Mini gastroplasty Dr Rutledge MG, MSG
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Transcript of Mini gastroplasty Dr Rutledge MG, MSG
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Most Surgeons Do Not Understand the MGB
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The Mini-Gastroplasty (MGB, Part 1)Many surgeons do not understand the mechanism
and power of the MGB!
1.The Gastric Pouch = Mini-Gastroplasty
2.The Billroth II = Bilio-Pancreatic Bypass
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Sleeve GastrectomyThe sleeve gastrectomy (SG) has gained popularity
because of several advantages. Unfortunately the SG surgery is irreversible. With High risk of GERD, Erosive Esophagitis
Barrett’sWeight Regain
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Mini-GastroplastyThe MGB has used a gastric sleeve reconstruction since 1997. In selected Mini-Gastric Bypass patients the bypass portion was
omitted and only a “Mini” Sleeve Gastroplasty (MSG) was performed in 2 types of cases,
1: morbidly obese but unable/inappropriate to bypass or 2: for lesser weight loss. The MSG consisted sleeve type gastric
pouch. The neo-gastric tube is then reattached to the distal stomach
with a 1 cm diameter anastomosis.
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Mini-GastroplastyShow Video
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Mini-GastroplastyAnimal ModelCompared to NissenMG > Nissen Rx Reflux
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Mini-GastroplastyAnimal ModelCompared to NissenMG > Nissen Rx Reflux
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Mini-GastroplastyThe MGB since 1997. 1: morbidly obese but
unable/inappropriate to bypass or
2: for lesser weight loss. The MSG consisted sleeve type gastric pouch.
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Mini-GastroplastyThe MGB since 1997. 1: morbidly obese but
unable/inappropriate to bypass or
2: for lesser weight loss. The MSG consisted sleeve type gastric pouch.
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Mini-GastroplastyMini-Gastroplasty= 1/2 of the MGB= Based upon
Collis Gastroplasty
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Mini-GastroplastyThe Mini-Gastric Bypass has used a
gastric "sleeve TYPE" reconstruction since 1997.
The Mini-Gastroplasty consists sleeve type gastric pouch. The neo-gastric tube is then reattached to the distal stomach
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Methods: In selected "Mini-Gastric Bypass" patients
the bypass portion was omitted and only a “Mini” Gastroplasty (MG) was performed in 2 types of cases,
1: Morbidly obese but unable to bypass or
2: for lesser weight loss.
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Mini-GastroplastyThe MG was chosen for
61 morbidly obese (MO) patients with an inability to perform a bypass and for
387 patients with Less Severe Obesity (LSO).
Mean preoperative BMI in MO patients was 45 kg/m2, and
Mean Excess Body Weight (EBW) was 64 kg.
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Mini-GastroplastyThe mean BMI in LSO pts was 35 and the mean EBW was 32 kg.
There was no mortality. Mean weight loss was 30 kg (±10 kg), equivalent to 47% of EBW in MO patients.
Mean weight loss in LSO patients was 29 kg (±9 kg), equivalent to 86% of Excess BW.
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Conclusions: Mini-GastroplastyThis describes the performance of the
Non-resectional "Mini" Sleeve Gastroplasty and confirms previous work showing that the results of the MG are similar to the Band and the Excisional (irreversible) Sleeve Gastrectomy.
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ConclusionsThe MSG is simple and successful in Less Severely
Obese patients.
The Mini-Sleeve Gastroplasty avoids the foreign body of a band and unlike the Sleeve Gastrectomy is less likely to cause reflux easily reversible.