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Why don't more people get the MGB? I love mine!



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On 12/18/2018 at 10:30 AM, ummyasmin said:

Did you have symptoms with the bile reflux?

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Yes, my bile reflux causes stomach pain and is visible on an EGD endoscopy. It is worse in the mornings. Neither PPIs (Prilosec, Nexium, etc.) or ursodeoxycholic acid help ease the symptoms. If I could do it all over again, I would have RNY instead of MGB.

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On 12/18/2018 at 12:40 PM, ummyasmin said:

I don't mind being on it, hey, what's another pill right. Although the "for life" thing surprised me coz most peeps here only seem to be on it 6 months or so. I think I better email and ask.

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There are many concerns with being on PPIs for an extended period of time (i.e. more than 6 months) as they weren’t designed/approved/studied for that kind of dosage. Do your research regarding increased health risks with long term PPI usage (e.g. dementia, bone fractures, heart attack, kidney disease, liver issues, hypomagnesemia, c. difficile & pneumonia infections,...).

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My insurance won’t pay for the mini-bypass. They consider it experimental or something...otherwise I definitely would’ve been looking into it.

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I am scheduled for the MGB on Nov 26th. I was originally going to get the sleeve, but due to my acid reflux issue, the doc wants to do a MGB. If I could choose, I would have a RNY. The risk of acid or bile reflux from the MGB is there and I can't stop thinking about it. Unfortunately, my doc refuses to perform a RNY on me. It's either a MGB or nothing. I have read many happy posts about the MGB so I'm starting to feel better about it. Thanks for the info!!

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My insurance won’t pay for the mini-bypass. They consider it experimental or something...otherwise I definitely would’ve been looking into it.
My insurance won't pay for it either! Just RNY and sleeve.

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On 11/20/2019 at 3:04 PM, Superman84 said:

What exactly is the difference between RNY and MGB?

With RNY, you bypass the stomach and reattach at two different places. With MGB, you bypass the stomach but reattach at only 1 place. There is less intestinal re-routing and it takes less time in the operating room. The MGB has much less chance for dumping and is generally safer. It does pose the risk of bile reflux but there are ways to help avoid or minimize that with the anti-reflux stitch and watching portion sizes. RNY has less chance of bile reflux but a greater chance of dumping.

There is no perfect surgery. You can get bile reflux after having a gallbladder out. It happens more than people realize but you don't see the medical profession against removing a gallbladder. I don't know why some won't recommend the MGB for that reason. Overall, it is a safer surgery than RNY.

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With RNY, you bypass the stomach and reattach at two different places. With MGB, you bypass the stomach but reattach at only 1 place. There is less intestinal re-routing and it takes less time in the operating room. The MGB has much less chance for dumping and is generally safer. It does pose the risk of bile reflux but there are ways to help avoid or minimize that with the anti-reflux stitch and watching portion sizes. RNY has less chance of bile reflux but a greater chance of dumping.
There is no perfect surgery. You can get bile reflux after having a gallbladder out. It happens more than people realize but you don't see the medical profession against removing a gallbladder. I don't know why some won't recommend the MGB for that reason. Overall, it is a safer surgery than RNY.


My insurance also wouldn't pay for it. I did look into it but the cost was about 18000. I didnt even have to pay half that for regular bypass after my insurance got a hold of it. All in all I have no complaints though. I've had no issues so far.

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