Jump to content
×
Are you looking for the BariatricPal Store? Go now!

One Year With Mini Gastric Bypass: My Journey, Thoughts, and Tips!



Recommended Posts

On 12/7/2021 at 12:37 AM, Guest said:

The surgery: what is it, how does it work, what does science say about weight loss and complications with MGB?

What is it?
There’s nothing ‘mini’ about the MGB. The name was given by Dr. Rutledge who invented it in 1997 to describe its simpler configuration compared to Roux-en-Y gastric bypass.

Basically, the stomach is divided and a long, narrow pouch is created (a little like the sleeve), but the rest of the stomach is left in place (like with RNY). A loop of the small intestine is then connected to the pouch, and that’s it.

There’s one connection point – one anastomosis – and unlike the sleeve, the food travels directly down into the intestine, as the pyloric valve is bypassed. The bypass is anywhere from 150cm – 350cm (3 to 9 feet), though recently most surgeons do 150cm to avoid malnutrition later on.

Here’s a diagram:

image.thumb.png.e34d371be4807971a7b606ce240fe582.png


How does it work?
As with all bariatric surgery, there are things we know and things we don’t know. We obviously feel full faster due to the smaller stomach, but because it’s ‘open’ in the bottom to the intestine, and this anastomosis is not especially narrow, we can usually eat pretty large amounts fairly soon after surgery.

My personal experience is that I’ve only felt I ‘had no more room’ a few times, and always with minced meat, weirdly enough.

The big trick is that you feel satisfied very quickly, because the food lands undigested pretty far down the intestine. It’s like the feeling after a huge Christmas dinner. Technically, I could eat more, but I feel stuffed (and satisfied). So I don’t.

We have at least 3-4x the malabsorption of RNY, so there’s some calories being flushed right out. Personally, I can see when I eat a higher-fat meal that some of it goes through undigested (sorry for theTMI).


How much do you lose?
Unlike what people think, there are tons of studies out there documenting that weight loss is generally greater after MGB than after sleeve and RNY. Not a single study out there shows less weight loss with MGB when comparing MGB and RNY.

Excess Weight Loss (EWL) ranges from mid-60s % EWL to the 80s after one year (a few studies show even higher WL, but those are generally from cohorts of fairly low-BMI study populations).

All-in-all, weight loss is excellent and looks like it’s long-term durable in the studies. Especially when compared to the sleeve.

Complications?
For some reason, there’s a ‘feeling’ among American bariatric surgeons that MGB carries a higher risk of stomach cancer. This is not true, and it has been studied. A few patients experience bile reflux, but this is a lesser concern with the Spanish ‘anti-reflux stitch’ most MGB surgeons now use. Mine did as well, and while I suffered heavily from GERD prior to surgery, this is no longer a problem.

Long-term, malnutrition is an issue, so take your Vitamins. Think of Vitamins as being generally a good idea for sleevers, mandatory in the beginning for RNY’ers and then see how your labs develop as the years pass, to very important for MGB, also long-term, and life-or-death for our duodenal switch friends. This reflects the malabsorption – none in sleeve, a little in RNY, a moderate-to-significant amount in MGB, and a lot in DS.

Thanks for the elaborating the entire journey! A big massive congratulations on your success that has been inspiring... That was a brilliant read and it mirrored my journey too to a large extent. I'm now 6 months post op and I have lost about 29kg or 64lbs in total. I feel like a different person altogether! I have more energy and my knee pain is virtually nonexistent. I have another 36lbs to go and I'm not bothered about how soon this happens or it happens at all! I chose mini gastric bypass for the same reason that you mentioned and I have no food intolerances or dumping. I don't get these contemptuous looks when I go to the gym or a yoga class anymore... I'm not self conscious when I go clothes shopping either. I don't really feel like I've had a surgery on many occasions as I have had little or no issues post op.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 4 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

      4. AmberFL

        How are you doing? any update?!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×