RNY vs MINI

[jules75 12]

i am getting GBP and my surgeon suggested the mini bypass over the RNY. I am unsure about doing this. He said ultimately it is my decison and will do the RNY if i want to.

Was wondering if anyone else has had to make this decison. And what did u decide

[Cherry 71]

my surgeon suggested the mini bypass over the RNY

What is that? Sorry, never heard this term.

[jules75 12]

Mini gastric bypass and roux-en-Y gasteic bypass.

The mini gastric bypass is preformed in a shorter time. With quick recovery. It is revisable and less chance of "dumping" and mallasorbtion....however the complications inclue: leaks, and bile reflux which increases therisk of esophosal cancer.

[Nicole K 352]

So with that said, I think your choice is obvious. RNY!!! as long as your having it laparoscopic, recovery isn't that long. I was back driving a bus at 3 weeks.

[jules75 12]

Found a few websites saying the "MINI" should never be used. Puzzling that the doctor even suggested it. My guess os because it is an easier surgery. Done in 30 minutes.

All the research point to the RNY being the best choice. I would rather take the few extra days of recovery and have less risk later on

[DLCoggin 1,788]

The biggest concern with the mini and the biggest reason that many surgeons refuse to use it is that there simply has not been enough research done to confirm it as a viable alternative to RNY. In addition, studies regarding long-term effectiveness seem to be non-existent. That may well change over time but those wheels turn slowly and for good reasons. By contrast, RNY has a 30 year history and countless studies confirming it's effectiveness both short and long-term. If you haven't done so already, you might want to ask your surgeon how many RNY and mini surgeries he/she has performed and what is the ratio of RNY vs. mini. Another concern is insurance coverage. From the little research I've done on mini's, it appears that the majority of insurance companies still do not cover the mini for all of the reasons mentioned here.

[jules75 12]

The insurance issue is not relevant in my case. I am doing self pay. But I will definately be asking my surgeon about these concerns. Thanks!