Comparative Study between Effect of Sleeve Gastrectomy and Mini-Gastric Bypass on Weight Loss and Improvement of Co-Morbidities

Background: sleeve gastrectomy (SG) is one of the most popular procedures in the world. SG is a technically less complex procedure with short learning curve and effective weight loss, but it suffers from two outstanding disadvantages including high risk of weight regain and gastro- esophageal reflux disease (GERD). Mini-gastric bypass (MGB), also known as single anastomosis gastric bypass or omega gastric bypass, is a newly emerged procedure. Due to safe and simple process as well as effective outcomes, MGB has quickly become one of the most popular procedures in many countries. Patients & Methods: the study included 60morbidly obese patients that were assigned to two equal groups as regards to the operation they underwent either Laparoscopic MGB or Laparoscopic SG. The primary outcome measured was change in weight and BMI. The secondary outcome was improvement of other co-morbidities like DM and lipid profile. Patients were followed up to 12 months after operation. Results & Conclusion: after prospectively comparing the two procedures for a year, almost both procedures have near same effect on loss of weight and resolving or better control on co-morbidities as DM, and HTN. However, MGB patients in need for multi-vitamins and minerals costing more than 1500 Egyptian pounds per month. The statistical differences observed as regards to BMI, LDL and HDL are still clinically insignificant. So, the recommendation for Egyptian patient whatever their morbid obesity scale is Sleeve Gastrectomy except for patient complaining of GERD, they should undergo MGB, as the results showed better resolution for their complain postoperatively.