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To Whom Sleeve Gastrectomy, To Whom Mini Gastric Bypass?

Obesity is a rising worldwide problem, and bariatric surgery remains the main treatment method. The most common and applied bariatric procedure is the laparoscopic sleeve gastrectomy. Gastric sleeve surgery is basically a restrictive operation that maintains the normal digestive system without intervention. In sleeve gastrectomy surgery, approximately 2/3 of the stomach is removed.

Mini gastric bypass is also an alternative, safe, feasible, and effective bariatric procedure. Mini Gastric Bypass is both a restrictive and absorption reducing method. Its popularity is increasing all over the world. After having a small stomach pouch, a new path is created by bringing the small intestine into this stomach’s pouch.

Sleeve gastrectomy and Mini gastric bypass surgeries have their own advantages and disadvantages. Both operations are performed by closed method. Hospital stay is equal after sleeve gastrectomy and mini gastric Bypass surgeries. The possibility of developing reflux after sleeve gastrectomy surgery is higher than mini gastric Bypass surgery. Postoperative leakage is more likely in sleeve gastrectomy surgery. After bariatric surgery, weight gain may occur again, and revision surgeries may be required.

Many diseases may develop due to obesity. The most common diseases are high blood pressure, type 2 diabetes, sleep apnea, and hyperlipidemia. The method we chose after obesity surgery should eliminate these concomitant diseases. In research, type 2 diabetes, high blood pressure, and hyperlipidemia disappear at higher rates after mini gastric Bypass surgery than sleeve gastrectomy surgery. There is no significant difference between them in sleep apnea. When sleeve gastrectomy and Mini Gastric Bypass surgeries are compared in terms of weight loss, it is seen that there is a little more possibility of more weight loss after mini gastric Bypass.


Consequently, what surgery should we recommend to which patient?

Mini-gastric Bypass surgery may be more suitable for obese people who have Type 2 diabetes and who use insulin for a long time.

  • Mini gastric Bypass surgery may be more suitable for obese individuals with severe reflux since sleeve gastrectomy surgery will increase their reflux complaints.
  • Mini Gastric Bypass surgery may be preferred because super obese individuals (BMI  over 50)
  • Mini Gastric Bypass can be preferred in obese people who have high sugar consumption.
  • Since sleeve gastrectomy surgery does not disrupt the human anatomy, this is an effective bariatric method that should be preferred except for the cases we have mentioned.

You can contact us to get more information about the gastric sleeve, gastric bypass, and revision surgery.


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