Efficacy Of Laparoscopic Mini Gastric Bypass

Abstract

Obesity is considered a major health and socio economic problem. Over weight, obesity and morbid obesity are terms often used to describe individuals with and increased body fat. The most common definition of morbid obesity is a body mass index (BMI) of 40 Kg /m2 or more. More than 250 millions individuals are obese. The aetiology of this condition is multi factors including; familial and genetic predisposition, drug induced obesity, endocrinal causes, childhood over nutrition, intake of food in large quantities and many times in the day, psychological factors, environmental factors, special habits like alcohol consumption and smoking and personal factors like; age, gender, ethinity and parity. Clear understanding of the pathophysiology of morbid obesity is essential for management and prevention of this disaster. There are several factors concerning the occurrence of obesity, the first one in this mechanism is the genetic control also central nervous system control, afferent signals, pattern of feeding, socioeconomic factors, exercise and pattern of distribution of excess adipose tissue, leptin also, have a role in the mechanism of this disease.Leptin is the best known of the afferent fat signals and the best candidate for primary signal communication of body fat information to the central controller. There are many disastrous diseases associated with morbid obesity including; cardiovascular diseases, diabetes mellitus, respiratory problems, digestive diseases, arthritis, chronic abdominal compartmental syndrome, hernia, infectious problems,endocrinal abnormalities, psychological problems, complications associated with pregnancy, cancer, neurological complications and other medical problems compounded by obesity. The goal of weight-loss therapy is to improve health by modifying obesity-related diseases and the risk for future obesity-related medical complications Bariatric surgery is a tool to help morbidly obese individuals lose most, if not all, of their excess weight. During the Roux-en-Y gastric bypass procedure, the size of the stomach is significantly reduced, limiting the volume of food a patient can consume, and the digestive tract is altered, decreasing the amount of calories and nutrients the body absorbs. When coupled with critical lifestyle changes, gastric bypass surgery can result in extreme weight loss within the first year after surgery. A mini gastric bypass is a less invasive alternative to standard gastric bypass; but produces similar results. This procedure is performed laparoscopically, meaning the surgeon works through several small incisions and uses a tiny camera (called a laparoscope) and a television screen to guide special instruments through the incisions. Mini-Gastric Bypass is Becoming a Prevailing Bariatric Procedure.(MGP) Developed by Dr. Robert Rutledge in the United States in 1997, the mini-gastric one-anastomosis bypass (MGB) is a bariatric operation that is safe, effective and fast.