Skip to main content

Patient Contraindications to Undergoing MGB

  • Chapter
  • First Online:
Essentials of Mini ‒ One Anastomosis Gastric Bypass

Abstract

The indications for surgery for obesity and weight-related diseases are established by the IFSO statement of 2016. MGB-OAGB is one of the three leading procedures in the world. There is only one specific contraindication to undergoing MGB: short bowel syndrome. The risk for malnutrition exists only if the biliopancreatic limb is 200 cm or longer.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. De Luca M, Angrisani L, Himpens J, Busetto M, Scopinaro N, Weiner R, Sartori A, Stier C, Lakdawadala M, Bhasker GA, Buchwald H, Dixon J, Chiappetta S, Kolberg HC, Frühbeck G, Sarwer DW, Suter M, Soricelli E, Blüher M, Vilallong R, Sharma A, Shikora S. Indications for surgery for obesity and weight-related diseases: position statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Obes Surg. 2016;26:1659–96.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Weiner R. Surgical treatment of non-alcoholic steatohepatitis and non-alcoholic fatty liver disease. Dig Dis. 2010;28:274–9.

    Article  CAS  PubMed  Google Scholar 

  3. Malik S, Mitchell JE, Engel S, et al. Psychopathology in bariatric surgery candidates: a review of studies using structured diagnostic interviews. Compr Psychiatry. 2014;55(2):248–59.

    Article  PubMed  Google Scholar 

  4. Lin HY, Huang CK, Tai CM, et al. Psychiatric disorders of patients seeking obesity treatment. BMC Psychiatry. 2013;13:1.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Mühlhans B, Horbach T, de Zwaan M. Psychiatric disorders in bariatric surgery candidates: a review of the literature and results of a German prebariatric surgery sample. Gen Hosp Psychiatry. 2009;31:414–21.

    Article  PubMed  Google Scholar 

  6. Kalarchian MA, Marcus MD, Levine MD, et al. Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry. 2007;164:328–34.

    Article  PubMed  Google Scholar 

  7. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: co-sponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic and Bariatric Surgery. Surg Obes Relat Dis. 2013;9:159–91.

    Article  PubMed  Google Scholar 

  8. Eldar S, Heneghan HM, Brethauer S, et al. A focus on surgical preoperative evaluation of the bariatric patient—the Cleveland Clinic protocol and review of the literature. Surgeon. 2011;9:273–7.

    Article  CAS  PubMed  Google Scholar 

  9. Pickering RP, Grant BF, Chou SP, et al. Are overweight, obesity, and extreme obesity associated with psychopathology? Results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2007;68:998–1009.

    Article  PubMed  Google Scholar 

  10. Snyder AG. Psychological assessment of the patient undergoing bariatric surgery. Ochsner J. 2009;9:144–8.

    PubMed  PubMed Central  Google Scholar 

  11. Friedman KE, Applegate KL, Grant J. Who is adherent with preoperative psychological treatment recommendations among weight loss surgery candidates? Surg Obes Relat Dis. 2007;3:376–82.

    Article  PubMed  Google Scholar 

  12. Mahawar KK. Another fatal outcome with a biliopancreatic limb of 200 cm with one anastomosis gastric bypass. Obes Surg. 2017;27:1882–3.

    Article  PubMed  Google Scholar 

  13. Motamedi MA, Barzin M, Ebrahimi M, et al. Severe fatal protein malnutrition and liver failure in a morbidly obese patient after mini-gastric bypass surgery: case report. Int J Surg Case Rep. 2017;33:71–4.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ben-Meir A, Sonpal I, Patterson L, Schreiber H, Salomone M, Sharma K, Kumar A, Marshall JB. Cigarette smoking, but not NSAID or alcohol use or comorbities, is associated with anastomotic ulcers in Roux-en-gastric bypass (RYGB) patients. Surg Obes Relat Dis. 2005;1:263–4.

    Article  Google Scholar 

  15. Tolone S, Christiano E, Savarino FS, Lucido DI, Fico L, Docimo L. Effects of omega-loop bypass on esophagogastric junction function. Surg Obes Relat Dis. 2016;12:62–9.

    Article  PubMed  Google Scholar 

  16. Chiappetta S, Stier C, Scheffel O, Theodoridou S, Weiner R. The first case report of failed single-anastomosis-duodeno-ileal bypass converted to one anastomosis gastric bypass/Mini-gastric bypass. Int J Surg Case Rep. 2017;35:68–72.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy - further procedure? Obes Facts. 2011;4(Suppl 1):42–6.

    PubMed  Google Scholar 

  18. Parmar CD, Mahawar KK, Boyle M, Schroeder N, Balupuri S, Small PK. Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass is effective for gastro-oesophageal reflux disease but not for further weight loss. Obes Surg. 2017;27:1651–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Weiner, R. (2018). Patient Contraindications to Undergoing MGB. In: Deitel, M. (eds) Essentials of Mini ‒ One Anastomosis Gastric Bypass. Springer, Cham. https://doi.org/10.1007/978-3-319-76177-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-76177-0_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-76176-3

  • Online ISBN: 978-3-319-76177-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics