Mini-Gastric Bypass / Single Anastamotic Gastric Bypass
This relatively novel operation is rapidly gaining popularity in Asian countries due to its ability to rapidly control obesity associated illnesses like diabetes and fatty liver disease. This operation includes a sleeved stomach (where the remaining stomach is left intact unlike in sleeve gastrectomy) and by pass of 150-200cm of proximal small bowel with a single anastomosis (joint) to the gastric tube ; giving it both a restrictive and a malabsorptive mechanism of action.
The issue of “high pressure stomach” in Sleeve Gastrectomy is resolved with this operation ‘ giving the patient more “freedom” with regard to consuming food. However if unhealthy food is consumed the patient can develop “cramps” and diarrohea due to malabsorption and bile reflux also can be troublesome to a few patients which is often transient.
This operation can easily be converted to another bariatric operation in the event of an acute complication. Also if long term malnutrition occurs 50% of the surgery can easily be reversed with a simple laparoscopic technique.
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Laparoscopic Sleeve Gastrectomy / Vertical Sleeve Gastrectomy
Laparoscopic Roux En Y Gastric Bypass
SADJ-S - (Single Anastomosis Duodeno-Jejunal Bypass with Sleeve Gastrectomy)
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