From Struggle to Solution: Mini Gastric Bypass for Long-Term Weight Loss


Does high body weight cause discomfort or make you vulnerable to health complications? The World Health Organization estimates that at least two billion people worldwide are overweight. This is about one-third of the adults and 17% of youth in the United States. Among these, at least 300 million are classified as obese. Most of these people are engaged in one of several weight loss procedures, including mini gastric bypass. This is an effective treatment for obesity and its secondary comorbidities.

Understanding Mini Gastric Bypass

Bariatric surgery is among the most effective treatment methods for long-term weight loss. It includes gastric surgical procedures, a process that can be performed as either mini or gastric bypasses. The two work similarly, restricting the amount of meals taken and reducing the calories a body can absorb. However, gastric bypass proved to be more complex, and even qualified surgeons often found it challenging. Thus, a mini gastric bypass (single-anastomosis gastric bypass) was created. It is a more straightforward procedure with fewer risks than gastric bypass.

During the mini gastric procedure, the surgeon divides the stomach into an upper (smaller) and lower pouch and reroutes the small intestines. There is only one connection (single anastomosis) where the formed stomach pouch joins to the small intestine. This is unlike in gastric bypass, where the surgeon has to make two connections. One is to join the small stomach pouch to the small intestines, and the other is to reconnect the bypassed segment of the small intestine to the lower part. Bariatric surgeries are, however, not favorable for everyone. There are some qualifications you must meet before undergoing mini gastric bypass, and they include;

1. Body Mass Index
Body mass index (BMI) is the amount of body fat estimated through height and weight measurements. It helps determine whether a person is underweight, healthy, overweight or obese. Mini gastric bypass is conducted on individuals with a BMI of 40 kgs/m2. Candidates with a BMI above 35 who have weight-related health issues such as type-2 diabetes, high blood pressure (Hypertension), and obstructive sleep apnea may also undergo the procedure. This also includes a person with a body weight higher than 100 pounds or a weight that’s 45 kgs above healthy mass.

2. Unsuccessful Weight Loss Attempts
A candidate must have attempted other weight loss procedures before deciding to undergo a mini gastric bypass. These include diet, exercise, and changes in behavior patterns, with no significant or sustained changes in weight. The individual should have documented proof of weight management through these means under the supervision of a diet or exercise specialist.

3. Age
Eligible candidates are often between 18 and 65. While there is no upper age limit for mini gastric bypass, individuals above 75 tend to be at a higher risk for developing complications. However, an otherwise healthy person without multiple obesity conditions can successfully undergo this procedure regardless of age.

4. Absence of Contraindications
There are some relative contraindications to bypass procedures, such as heart failure, end-stage lung disease, active cancer treatment, and portal hypertension. This also includes autoimmune connective tissue diseases or their symptoms in the patient or a close family member. These are diseases like systemic lupus erythematosus or scleroderma. Additionally, people with alcohol and substance use disorder or with a history of addiction do not qualify for the treatment. Also, the surgeon uses general anesthesia during the surgical procedure, so if its use harms a person, they are not eligible for the treatment.

Pre-Surgical Procedures

After meeting the required needs to undergo a mini gastric bypass, the candidate must have a thorough medical evaluation with qualified specialists to determine their suitability for the procedure further. These may include medical and surgical screening to test if the person is healthy enough for bariatric surgery. The candidate undergoes physical examinations, blood tests, imaging studies, and consultations. It is here that the medical specialists identify if you have obesity-related diseases that make you ideal for the treatment. Various health providers can conduct the tests, including bariatric surgeons and dieticians.

A patient will also undergo psychological evaluations. The individual should understand the risks and benefits of the process. This is because surgical treatment for obesity management dramatically alters a person’s eating behavior. The patient must have the ability to adhere to post-operative dietary and lifestyle changes. This may require them to keep a food diary to record daily intake. They may also need to learn how to manage dietary progression and nutritional requirements for better adherence during recovery. Also, the nutritional evaluation helps ensure the patient will have adequate support structures once discharged.

Benefits of Mini Gastric Bypass

Mini gastric bypass takes a shorter time because it is simpler to perform. There are also reduced risks of complications such as internal hernia during and after the procedure. Besides, due to the single connection, there is a lesser risk of leaks. After the procedure, a patient can take a recovery period of about two to three weeks. After this, there are noticeable changes, such as improved physical capabilities and mobility. The person can also notice health improvements and a reduction in comorbid conditions. In severe weight loss or complications, the process can be revised, reversed, or converted.

Have you struggled with extreme weight and have undertaken other non-intrusive treatment methods that have failed to maintain a healthy mass for more than six months? It is time to consider mini gastric bypass treatment. Contact our board-certified bariatric surgeons at Valley Surgical RGV to discuss eligibility and start the journey to a life with a healthy weight. For more information about mini gastric bypass, contact Dr. Luis Reyes and Dr. Ernesto Garza.



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