title: Current status of mini-gastric bypass.
abstract: Mini-gastric bypass (MGP) is a promising bariatric procedure. Tens of thousands of this procedure have been performed throughout the world since Rutledge performed the first procedure in the United States of America in 1997. Several thousands of these have even been documented in the published scientific literature. Despite a proven track record over nearly two decades, this operation continues to polarise the bariatric community. A large number of surgeons across the world have strong objections to this procedure and do not perform it. The risk of symptomatic (bile) reflux, marginal ulceration, severe malnutrition, and long-term risk of gastric and oesophageal cancers are some of the commonly voiced concerns. Despite these expressed fears, several advantages such as technical simplicity, shorter learning curve, ease of revision and reversal, non-inferior weight loss and comorbidity resolution outcomes have prompted some surgeons to advocate a wider adoption of this procedure. This review examines the current status of these controversial aspects in the light of the published academic literature in English.
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Kamal K
authors.initials: KK
authors.lastname: Mahawar
authors.affiliation: Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, Australia.
authors.forename: Parveen
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: William Rj
authors.initials: WR
authors.lastname: Carr
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Neil
authors.initials: N
authors.lastname: Jennings
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Norbert
authors.initials: N
authors.lastname: Schroeder
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Shlok
authors.initials: S
authors.lastname: Balupuri
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Peter K
authors.initials: PK
authors.lastname: Small