الفهرس 
Anatomy and Physiology of the StomachOnly 14 pages are availabe for public view
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Abstract
Background: As the number of morbid obese patients is increasing, bariatric surgery is considered the only effective treatment for long-term sustainable weight loss. Different operations have been developed to achieve sustainable, significant weight loss with minimal invasion and complications, but until now there is no ideal choice, each operation still have reported complication and disadvantages. However, most of the patients accept the risk because of their miserable and limited life style secondary to morbid obesity. Aim of the work: In our study, we aimed to study the efficacy, safety and feasibility of laparoscopic mini-gastric bypass in management of morbid obesity. To evaluate the outcome within one year of follow up regarding intraoperative challenges and postoperative complications. Patients and Methods: The study had taken place in Ain Shams University hospitals during the period from September 2015 To Novembers 2016. It was a prospective interventional study involving 30 patients in whom laparoscopic Mini-gastric Bypass was done. All the patients involved in our results complete one year of follow up and the patients not complete one year follow up were excluded. Results: The current study revealed that laparoscopic mini-gastric bypass is highly effective in both long-standing sustained weight reduction and relieve of obesity-related co-morbidities, especially, type II diabetes mellitus, hypertension and dyslipidemia. Conclusion: Although limited in short-term follow-up, MGB is a simple and effective operation with efficacy similar to RYGB in terms of reducing obesity-related co-morbidities and long-term metabolic complications. However, MGB has the advantage of one less anastomosis, preserved continuity of the intestine, easy antecolic anastomosis, and a larger gastric pouch for possible operative reversal in the future. Recommendations: MGB is an effective, relatively low risk, and low failure bariatric procedure. In addition, it can be easily revised, reversed, or sleeved when needed. In comparison to Roux-en-Y gastric bypass, MGB can be regarded as a simpler and safe procedure and its short-term results appear promising; however, information regarding long-term weight loss, durability, and safety profile in this population will require a greater number of patients and longer follow-up.