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Comparison between RYGB and MGB in Patients of Developing Countries

            dIscussIon                                         conclusIon
            It is pertinent to note that previously the more commonly   In comparing MGB to RYGB in the developing countries, we
            recognized bariatric surgeries are RYGB and vertically banded   conclude that MGB is an effective alternative to RYGB. With the
            gastroplasty (VBG). This was enunciated in 1999 by the National   increasing burden of obesity in these countries, MGB is a simpler
            Institute of Health Consensus Conference NIH. In 2004, a consensus   and safer approach toward weight reduction and control of obesity
            conference emanated from the American Society for Bariatric   associated metabolic syndrome. With MGB, there is a differential
            Surgery (ASBS), which updated the evidence and the conclusions of   reduction in the short- and long-term complications associated with
            the NIH. At this time, RYGB was considered as the most commonly   most other bariatric techniques. It will thus proffer quality treatment
            performed bariatric surgery. As the preoperative complications   to majority of the populace in these recently industrialized
            continue to soar, experience became a necessity in the performance   developing countries.
            of this procedure. Leakage was significant and proved to be the
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            most common complication.   As weight reduction is more in   references
            RYGB than in VBG, RYGB became the more popular procedure.
            Laparoscopic sleeve gastrectomy (LSG) is also another popular     1.  Karlsson J, Taft C, et al. Ten year trends in health related quality of
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               Mini-gastric bypass is low antecolic and one less anastomosis,     3.  Wittgrove A, Clark G. Laparoscopicgastric bypass, Roux-en-Y: 500
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            more for RYGB compared to MGB. The operative time for RYGB is     6.  Westling A, Gustavsson S. Laparoscopic vs open Roux-en-Y
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            long-term follow-up with endoscopy. The other problem with     8.  Rutledge R, Walsh W. Continued excellent results with minigastric by
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                                              12
            folate, hypoalbuminemia, iron, and vitamin.  However, in both,     10.  Wittgroove AC, Clerk GW, et al. Laparoscopic gastric bypass, Roux-
                                             12–14
            iron deficiency anemia was the only culprit.     A long period of   en-Y Preliminary report of five cases. Obes Surg 1994;4:353–357. DOI:

                                                                    10.1381/096089294765558331.
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            associated.                                          14.  MacLean LD, Rhode BM, et al. Late outcome of isolated gastric
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                                                                                                                2
                                                                    type 2 diabetes mellitus: comparison of BM1>35 and <35 kg/m  .
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