What is Mini Gastric Bypass Surgery?
Mini Gastric Bypass (MGB) surgery is an effective surgical method used in the treatment of obesity. It is based on the principle of both reducing the stomach volume and bypassing a portion of the small intestine to achieve weight loss. This surgery is a simpler procedure than the classic Roux-en-Y gastric bypass, but it provides similar results.
In mini gastric bypass surgery, a large portion of the stomach is bypassed and a small, tube-shaped stomach pouch is created. Then, a forward portion of the small intestine is connected to this stomach pouch and the digestive system is partially bypassed. As a result of this procedure, patients feel full with less food and the absorption of nutrients is reduced. Both fewer calories are consumed and some of the calories consumed are excreted without being absorbed by the body.
Since a simpler technique is used, the operation time is short and the risk of complications is lower than some other bariatric surgical methods. Mini gastric bypass surgery is also very effective in treating obesity-related diseases such as type 2 diabetes, hypertension and sleep apnea. However, since vitamin and mineral deficiencies may occur in the post-operative period, lifelong supplementation may be required.
Mini gastric bypass is surgically simpler because it requires less intestinal connection than classic gastric bypass, but lifestyle changes, regular nutrition and doctor follow-up are still of great importance in the post-operative period.
Patients with a BMI over 35 and obesity-related health problems are suitable candidates for mini gastric bypass.
Mini Gastric Bypass Surgery

Who Can Get Mini Gastric Bypass?
Patients with a Body Mass Index (BMI) of 35 and Above
Patients with a BMI of over 35 and obesity-related health problems are suitable candidates for mini gastric bypass. Patients with a BMI of 40 and above may be recommended surgery if obesity seriously affects their quality of life and health.
Patients with Type 2 Diabetes
Patients with type 2 diabetes along with obesity that cannot be controlled with medication or insulin therapy can benefit greatly from mini gastric bypass surgery. The surgery makes it easier to control diabetes, and blood sugar levels improve in many patients.
Patients with Other Metabolic Syndrome Symptoms
People with obesity-related metabolic problems such as high blood pressure, sleep apnea, and high cholesterol may also be suitable candidates for this surgery. Mini gastric bypass is very effective in relieving the symptoms of such diseases.
Patients Who Cannot Lose Weight with Diet and Exercise
Mini gastric bypass can be an effective solution for people who have failed to lose weight with diet and exercise, who have not been able to maintain their weight loss, or who have regained it quickly. This surgery can have serious results, especially for patients who have tried many weight loss methods but have not been successful.
Patients Looking for a Less Risky Surgery
Mini gastric bypass is a procedure that carries fewer surgical risks than the traditional Roux-en-Y gastric bypass, so it may be appropriate for patients looking for a less invasive option and a quicker recovery time.
During surgery, a large portion of the stomach is first bypassed and the stomach is turned into a small tube-shaped pouch.
Mini Gastric Bypass Surgery

How is Mini Gastric Bypass Performed?
Mini gastric bypass surgery is an effective surgical method used in the treatment of obesity and is usually performed with laparoscopic (closed) surgery. Since this is an operation performed through small incisions in the abdominal area, the recovery period is faster than open surgery and the risk of complications is lower. The surgery is performed under general anesthesia and usually takes 1-2 hours. Here are the stages of mini gastric bypass surgery:
During the surgery, first a large part of the stomach is bypassed and the stomach is turned into a small tube-shaped pouch. This procedure significantly reduces the volume of the stomach, allowing the patient to feel full with much less food. The small stomach pouch created has a capacity of approximately 100-150 ml, which greatly restricts food intake.
In the second stage, a part of the small intestine is bypassed. In this procedure, the upper part of the small intestine is connected to the stomach pouch. Food normally passes from the stomach to the duodenum and from there to the small intestine, but with this surgery it is directed directly to a further section of the small intestine. This allows food to follow a shorter path in the digestive system, thus reducing calorie and nutrient absorption.
This two-stage procedure both restricts food intake and provides effective weight loss by reducing absorption. Since mini gastric bypass requires fewer intestinal connections than classic gastric bypass, it is a simpler and shorter surgical procedure. After the surgery, patients feel full by eating less, and the body eliminates some of the calories taken without absorbing them.
The post-operative period begins with a liquid diet and gradually transitions to solid foods. In addition, long-term vitamin and mineral supplements may be required, because nutrient absorption decreases because a part of the intestines is bypassed.
What are the risks of Mini Gastric Bypass Surgery?
1. Infection
Surgical incisions or intestinal connections made during surgery may carry a risk of infection. Therefore, it may be necessary to pay attention to post-operative hygiene conditions and use antibiotics recommended by the doctor.
2. Bleeding
Bleeding may occur during or after surgery. Although rare, this can be a serious complication and may require additional surgery.
3. Intestinal Leakage
Leaks may occur at the stomach and intestine connection points created during surgery. These leaks can cause intra-abdominal infection (peritonitis) and may require emergency intervention.
4. Dumping Syndrome
Dumping syndrome, one of the most common complications after mini gastric bypass, can cause symptoms such as nausea, abdominal pain, dizziness and diarrhea as a result of food passing quickly from the stomach to the small intestine. This condition usually occurs with the consumption of high-sugar and fatty foods.
5. Nutrition and Vitamin-Mineral Deficiencies
Since a portion of the intestines is bypassed after surgery, vitamin and mineral absorption decreases. Vitamin B12, iron, calcium and vitamin D deficiencies are common. For this reason, patients may need to take vitamin and mineral supplements regularly throughout their lives.
6. Gallstone Formation
Rapid weight loss can lead to the formation of gallstones, which can cause gallbladder problems and may require gallbladder removal in some patients.
7. Intestinal Obstruction
Intestinal obstruction may occur after surgery, although it is rare. This creates difficulty in the passage of food and may require surgical intervention.
8. Weight Gain Back
Even if surgery is successful, weight regain may occur over time if lifestyle changes are not followed and healthy eating habits are not adopted.
Prof. Dr. Mehmet ÖZDOĞAN Answers Your Questions
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