MINIGASTRIC BYPASS

It is a recent surgery that seeks to provide similar results to the gastric bypass through a simpler surgery.  The main differences from the classic bypass are:

• Larger reservoir, with some more capacity.

• Only one anastomosis between the small intestine and the gastric reservoir.

• It is a more malabsorptive technique than the classic bypass, supplying good results for metabolic syndrome patients.

History

Designed by Rutledge, this procedure is also known as Single Anastomosis Gastric Bypass (SAGB). It was created as a simpler version of the traditional gastric bypass since it requires only one anastomosis and it is technically faster. 

Weight loss and illnesses resolution

• Similar results to the traditional bypass

• Good quality of life

• Good resolution of comorbidities

Indications

• Diabetic patients and/or metabolic syndrome

• BMI > 50

• Good option for revisional surgery after a sleeve because of weight regaining

• Patients with short mesos, therefore it is difficult to
  perform an anastomosis without tension close to the
  gastric esophageal junction