Updates in management of leak after laparoscopic gastric bypass for morbid obesity

Abstract

Obesity is a pandemic health problem in both developed and developing countries .which is defined as a BMI greater than 30 Kg / m2 The major factors involved in obesity seem to be dietary and physical activity habits and these factors are affected by susceptibility genes Obesity increases the risk of many physical and mental conditions, obesity complications are either directly caused by obesity or indirectly related as diabetes mellitus, hypertension, dyslipidaemia, cardiovascular disease, atherosclerosis, Cerebrovascular disease, Pulmonary dysfunction, gastro-esophageal reflux, cholelithiasis, non-alcoholic fatty liver disease, deep venous thrombosis, pulmonary embolism, degenerative Joint disease, genital disorders, gestational diabetes, preeclampsia, and delivery complications. Bariatric surgery is indicated to patient with a body mass index BMI 40,and for people with body mass index BMI 35 with obesity comorbidity. Bariatric procedures are based on two primary principles to promote weight loss: gastric restriction and intestinal mal-absorption. Roux-en-Y Gastric Bypass (RYGB) is considered the gold standard for bariatric surgery and the most common restrictive and mal-absorption procedure that surgically alters the stomach capacity using surgical staples. Weight loss is promoted by the restriction of the amount of food and the limitation of the absorption of food. Mini gastric bypass is being explored by many bariatric surgeons as a standalone bariatric procedure. Several surgeons from different parts of the world have now published their extensive experience with this procedure. It appears to be an effective bariatric procedure with acceptable weight loss, co-morbidity resolution, and complication rates in the short and medium term. Its proponents claim that it is safer and easier than the gold standard Roux-en-Y gastric bypass.