POST-OPERATIVE WEIGHT LOSS AND EVIDENCE OF GASTRO-ESOPHAGEAL REFLUX AFTER MINI-GASTRIC BYPASS

Document Type : Original Article

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Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Abstract

Background: Morbid obesity has become a serious health problem due to its multiple complications and co-morbidities. Bariatric surgery proved to be an effective way for management of morbid obesity and its co-morbidities.
Aim of work: to prospectively assess the post-operative weight loss and the evidence of a Gastro-esophageal reflux (GERD) after mini-gastric by-pass.
Patient and method: Our study was conducted in El-Demerdash hospital, Ain- Shams University and other private hospitals. Thirty patients were operated upon from May 2013 to January 2016 with minimal follow up of 15 months. Thirty (30) morbidly obese patients with BMI >40 or >35 were undergone mini gastric bypass from Jan 2014 to July 2016 at the department of surgery Ain-Shams University Hospitals.
The procedure is obtained from Elinton Adami et al.
Results: A statistically significant weight reduction had been occurred at 3,6,9,12,15 months after laparoscopic mini-gastric bypass (LMGBP). There was also a significantly diminished esophageal acid exposure postoperatively, in addition to, improvement in pre-operative obesity co-morbidities.
Conclusion: Laparoscopic mini-gastric by-pass (LMGBP) is a technically simple and safe procedure showing excellent results for weight loss in obese patients with a significantly low complication rate, in addition to low incidence of postoperative Gastro-esophageal reflux (GERD).

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