what's the difference btw RNY and mini gastric bypass?

[Ellie Manfalouti]

gastric vs mini

[Gina DiSanto]

Here is a diagram that may be helpful to you, don't get the RNY, people have to many problems with it.

http://www.clos.net/mgb_drawing01.htm

[Lila in Oregon]

You are very smart to be doing research. There are a significant number of differences between Roux-nY and Mini Gastric Bypass and you can learn quite a bit by going to http://clos.net/. There is the patient manual in PDF format that you can download for free plus the website is filled with an incredible amount of information about the surgery. There are 2 surgeons that perform the surgery with the Center for Laparoscopic Obesity Surgery: Dr. Rutledge, the founder of the surgery, in Nevada and Dr. Peraglie in Florida.

Anatomically speaking, the RnY creates a small stomach pouch from the upper part of your stomach and then the lower part of your stomach is bypassed by connecting your small intestine up to the newly created stomach pouch. This Roux arm attachment is complicated and time consuming and statistically has a high incidence of on going complications. Very little of the small intestine is bypassed which contributes little towards long term successfully maintained weight loss.

The MGB procedure creates a long tube like gastric sleeve out of the stomach, about the size and shape of a magic marker. An opening is created in the bottom of this newly created tube like stomach that is attached directly to a loop of your small intestine with a surgical technique called a Billroth II connection. You have to learn about this technique and prove your knowledge in order to be accepted for the MGB surgery. The connection of the stomach tube to the small intestine bypasses approximately 6’ of intestine which is one of the key components that results in such excellent long term success of being able to keep the weight off.

Unlike RnY, the MGB surgery usually takes less than 1 hour to perform and can easily be revised or even reversed should that ever become necessary.

Most people who research the differences between the two surgeries, usually decide upon the MGB, if they decide to have a gastric bypass performed.

You can never learn too much. Knowledge is power of choice.

[Rose Wolfe]

below are pictures of the Lapband the RnY then the MGB The MGB uses the inside curve of the stomach so there is less chance of the stomach stretching although the farther out you get the more you can eat...but it is similar to the sleeve type surgery it also does not cut the bowel and sew them back together again forming they Y as in the RnY.... just poke a hole in the small intestine just past the bypassed section and attach the sleeve type stomach to it...there is no valve on the bottom of the stomach so your stomach is not like a reservoir for food any more. It only takes about 30 mins for the surgery if there is no other complications such as old scars from previous surgerys...so that is why it is called mini...less time- less cutting- less bleeding-less pain- quicker recovery