• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic mini-gastric bypass for morbid obesity is comparable to sleeve gastrectomy – a prospective study with short-term follow-up.

Laparoscopic mini-gastric bypass for morbid obesity is comparable to sleeve gastrectomy – a prospective study with short-term follow-up.

Pawanindra Lal, MD, Anubhav Vindal, MD. Maulana Azad Medical College, New Delhi, India

INTRODUCTION: While Sleeve Gastrectomy (SG) has established itself as the commonest bariatric procedure, single anastomosis mini-gastric bypass (MGB) has become popular with claims of equivalent outcomes as with roux-en-Y  gastric bypass (RYGB). Present study was done to compare the intra-operative and post-operative outcomes of MGB as compared to Sleeve Gastrectomy (SG) in the Indian population in a tertiary care teaching hospital.

MATERIAL & METHODS: Between January 2015 and July 2017, 46 patients underwent MGB (Group A – 22 cases) and Sleeve Gastrectomy (Group B- 24 cases) in a prospective study, including 5 super-obese patients in each group. Data of 40 patients (20 in each group at 30 months with a follow-up of 3-31 months in LSG and 12-24 months in MGB, was analyzed for peri-operative and post operative complications, weight loss achieved and resolution of co-morbidities.

RESULTS: Both groups were comparable for BMI at baseline [MGB = 45.39 kg/m2 (42.98-58.02) vs. SG = 43.67 kg/m2 (39.9-69.4) p = 0.657]. Mean operation time was significantly lower in SG 135.8 vs. 166.8 min, p < 0.01) but the mean hospital stay was significantly lower in the MGB (3.4 vs. 5.4 days, p < 0.001). Percentage EWL in SG group of 24 patients at 3 months was 42.22 (40.34-44.78) and in 20 patients at 30 months is 70.45 (68.34-72.43). In the MGB group of 22 patients, % EWL at 3 months was 51.23 (47.23-54.01) and in 20 patients at 24 months is 78.74 (76.34-81.23). There were no mortalities in either groups. Two cases of staple line bleeding were seen in SG group, one of which required re-exploration. There was one leak which closed at 8 weeks on conservative management. No complications were noted in the MGB group.

Resolution of co morbidities like DM, HTN and OSA was observed in both groups while this resolution was observed significantly early  at 6,8 and 2 weeks in the MGB group as compared to 12,12 and 4 weeks for SG respectively. The mean hemoglobin and Albumin levels showed no significant difference before and after surgery in either groups.

CONCLUSIONS: MGB achieved superior weight loss at 3 months and 24 months and had a lower  complication rate compared with SG. Resolution of co-morbidites was faster in MGB compared with SG Thus, MGB may be a viable alternative to RYGB as it appears to be better to SG for the treatment of morbidly and super-obese patients.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88593

Program Number: P665

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

41

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals