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What is Laparoscopic Mini Gastric Bypass (MGB)?

LRSG is a revisional bariatric surgery procedure that is done if the results of the original laparoscopic sleeve gastrectomy (LSG) were unsatisfactory, or if you start regaining weight after the first surgery. While in most cases the results of LSG are reliable and permanent, some patients may experience an abnormal enlargement of the stomach after it is made smaller, and would start regaining some of the weight they lost after the first surgery. In that case, another surgery very similar to the original one is done to achieve great results and weight loss once again.

What Does “Laparoscopic” mean?

A laparoscopic approach to surgery means using 3 tiny incisions to do the surgery (two 5 mm in length, and one 12 mm in length), as opposed to the regular approach where a large incision is made in your abdomen. The surgeon would use a specialized thin long telescope to which a camera is connected known as the Laparoscope together with some very small surgical instruments to reach the surgical area without opening up your belly too much. This means less scarring as most of these incisions are hidden, less pain during the post-operative recovery period, and fewer surgical complications. It is the approach of choice for most bariatric surgeries.

Do I Need LRSG surgery?

LSG is a reliable and safe surgery with proven results all over the world where you stand to lose 40 to 50% of your body weight in about 2 years. However, the research data collected on the results of LSG are not always consistent, where some people report its long-term success and results, while others suffer from a degree of failure in terms of weight regaining and worsening of metabolic conditions such as diabetes, sleep apnea, and high blood pressure.
While these outcomes are quite rare, if you are one of these unfortunate people where the original surgery didn’t yield the wanted results, then LRSG is definitely the choice for you. Studies have shown that this revisional surgery is not only very safe, but it has astounding results for your weight loss plan as well.

How is LRSG Done?

It is done the exact same way as the original surgery, where the surgeon will use the laparoscope with small surgical instruments to remove the enlarged part of the stomach, reforming the original “sleeve” shape that was done in the first surgery. The procedure is usually shorter (an average of 1 hour) and you would only remain in the hospital for a day or 2.

Life After LRSG

As a recipient of the original LSG surgery, you probably know all of the following pieces of advice to cope with your weight loss surgery. But just as a reminder, here are a few things to consider:
· The rapid drop in body weight can sometimes cause a few unwanted but completely expected side effects during the first 6 months of surgery. These include body aches, hair loss, mood changes, dry skin, and constantly feeling tired. All you need to do is support yourself both physically and mentally, and know this is a temporary phase that will pass very soon.
· For 2 weeks after the surgery, you would be limited to a liquid diet, and would gradually transition to pureed food, soft food, and then regular food in about 1 month. Do not rush the process of returning to hard foods so as not to risk nausea and vomiting.
· Eat very slowly and chew your food very well, since your smaller stomach does not have the same capacity for digestion as it used to.
· A smaller stomach means consuming less food and therefore less intake of nutrients. This means 2 things:
o You’ll have to take multivitamins to meet your daily requirements as prescribed by your doctor.
o You would need to do blood tests every 3 months to make sure you don’t suffer from anemia or vitamin deficiency.
· To avoid muscle wasting (which means weakening of your muscles due to loss of muscle fibers), you would need to not only take protein supplements, but specialized exercise to make sure you keep your muscle mass and strength.
· You would also need to moderate smoking, alcohol, and intake of some forms of medication such as Ibuprofen, Voltaren and Aspirin.
· Psychiatric therapy is a very important step in all bariatric surgeries but is doubly so with revisional surgeries since you’ve already had some bad experience and would need professional help to get you through that difficult initial period.

If you need any more information about the procedure or the follow-up aftercare period,
feel free to contact our team anytime