الفهرس 
Introduction & Aim of the workOnly 14 pages are availabe for public view
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Abstract
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and or increased health problems and the diagnosis of obesity usually done by measuring body mass index. The main treatment for obesity consists of dieting and physical exercise. Diet programs may produce weight loss over the short term, but maintaining this weight loss is frequently difficult and often requires making exercise and a lower calorie diet as a permanent part of a person’s lifestyle. If this fails, anti-obesity drugs may be taken to reduce appetite or inhibit fat absorption. The most effective treatment for obesity is bariatric surgery, or weight loss surgery which includes a variety of procedures. Surgery for severe obesity is associated with long-term weight loss and decreased overall mortality.
Aim of Work
Evaluation of mini gastric bypass surgery as a treatment of morbid obesity as regard, efficacy, safety, complications, advantages, disadvantages and its role in co-morbidities resolution.
Patients and methods
Our study was a prospective one conducted on 20 patients admitted to department of surgery in El-Minia University hospital in the period from February 2013 to February 2015 and all patients were subjected to laparoscopic mini gastric bypass in which a long, narrow lesser curvature gastric pouch beginning below crow’s foot, extending lateral to the esophagogastric (EG) junction, with a wide anastomosis to an antecolic jejunal loop at a point about 200 cm distal to Treitz’ ligament, providing malabsorption.
Results
As regard weight loss there was statistically significant weight loss with mean of BMI after 1 month was 45.22± SD 6.811 and mean of BMI after 12 months was 32.73± SD 7.875 and mean of excess weight loss (EWL) was 77.386± SD 23.1086.
As regard co-morbidities in our study diabetes was present in 40% of our patients and after 12 months follow-up decreased to 5%. Hypertension was present in 30% and decreased to 5% by 12 months follow-up. Hyperlipidemina percentage was 50% and after 12 months it was 10%.
As regard complications, no major complications were reported. Minor early complications (28 days post-operative) in the form of vomiting, port site infection and dumbing.
Late complications in the form of nutritional deficiencies (Iron deficiency 50%, Calcium deficiency 40%), diarrhea (all cases), reflux oesophagitis (4 cases), gall bladder stones (5 cases), port site hernia (2 cases).