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Obesity Surgery

, Volume 17, Issue 11, pp 1482–1486 | Cite as

Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era

  • Roger NounEmail author
  • Eddy Riachi
  • Smart Zeidan
  • Bassam Abboud
  • Viviane Chalhoub
  • Alexandre Yazigi
Article

Background

Laparoscopic mini-gastric bypass (MGB) is being increasingly performed worldwide. Results of MGB by mini-laparotomy (minilap MGB) are hereby reported.

Methods

126 patients undergoing minilap MGB from October 2004 to October 2006, were reviewed at an academic institution.

Results

Mean age was 35 ± 11.4 years (range 15–72), preoperative BMI was 44 ± 6.9 kg/m2 (range 35–61.8) and 80 (63.4%) were women. Co-morbidities were present in 42 (33.3%). Operative time was 144 ± 15.8 minutes (range 120–160) and length of hospital stay was 3.32 ± 0.62 days (range 2–18).There was no hospital mortality, and the inhospital complication rate was 4.7%. No anastomotic leakage occurred, and the incidence of wound sepsis was 2.3%. The mean total cost of the procedure was 3408 ± 547 USD (range 2967–6876). Five patients (3.9%) developed incisional hernias and 3 (2.3%) marginal ulcers. BMI at 6 months was 33.0 ± 3.1 kg/m2 (range 26.8–43.5, P < 0.001) compared with preoperative value. At 1 year, mean excess weight loss was 68.4% and comorbidities resolved in 85%.

Conclusion

Minilap MGB is a simple, safe, effective and low-cost gastric bypass. It represents an attractive cost-effective alternative to laparoscopic MGB.

Key words

Mini-gastric bypass minilaparotomy bariatric surgery morbid obesity gastric bypass 

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Roger Noun
    • 1
    Email author
  • Eddy Riachi
    • 1
  • Smart Zeidan
    • 1
  • Bassam Abboud
    • 1
  • Viviane Chalhoub
    • 2
  • Alexandre Yazigi
    • 2
  1. 1.Department of Digestive SurgeryHôtel-Dieu de France HospitalBeirutLebanon
  2. 2.Department of AnesthesiologyHôtel-Dieu de France HospitalBeirutLebanon

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