The mini-gastric bypass: experience with the first 1,274 cases.
BACKGROUND
Results of the laparoscopic Mini-Gastric Bypass (MGB) are reported.


METHODS
1,274 MGB patients are continuously monitored as part of an online computer tracking data-base system.


RESULTS
Mean preoperative weight (+/- Standard Deviation) was 132 +/- 21 kg, BMI 47 +/- 7. Mean excess weight loss was 51% at 6 months, 68% at 12 months and 77% at 2 years. The mean operating-time was 36.9 +/- 33.5 minutes. The shortest time was 19 minutes. Hospital stay was 1.5 +/- 1.6 days. The overall complication rate has been 5.2%. The overall rate of deep vein thrombosis and pulmonary embolism was 0.08% and 0.16% respectively. The leak rate was 1.6%. There was one hospital death, 0.08%. Associated medical illnesses were either completely reversed or markedly improved.


CONCLUSIONS
The MGB is safe, results in major weight loss, has a short operating-time, and has a short hospital stay. The MGB appears to meet many of the criteria of an "ideal" weight loss operation.
Rutledge
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Center for Laparoscopic Obesity Surgery, 4301 Ben Franklin Blvd., Durham, NC 27704, USA. DrR@clos.net
D000328:Adult; D000368:Aged; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery