• Mini Gastric Bypass Abroad

     

Mini Gastric Bypass with Prague Beauty

Mini Gastric Bypass

In recent years, a surgical technique known as Mini Gastric Bypass or single-anastomosis gastric bypass has been developed. Its frequency of performance has increased considerably in the current decade, nowadays Dr Vrany carries out Mini Gastric Bypass as a primary bariatric surgery.

INDICATION

Obese class II, i.e. BMI of 35 and higher. Age between 18 and 65 years.

TECHNIQUE

Mini Gastric Bypass (MGB) is a minimally invasive surgery carried out laparoscopically under general anaesthetic. A small incision (less than 1/2 inch, 1 cm) is made near the belly button. Carbon dioxide (a gas that occurs naturally in the body) is introduced into the abdomen to create a work space for the surgeon. Then a small laparoscopic camera is placed through the incision into the abdomen. The camera sends a picture of the stomach and abdominal cavity to a video monitor. It gives the surgeon a good view of the key structures in the abdominal cavity. A few additional, small incisions are made in the abdomen. The surgeon watches the video monitor and works through these small incisions using instruments with long handles to complete the procedure.

Mini Gastric Bypass, MGB

Then a surgeon first reduces the size of the "working" stomach by separating a tube-like pouch of the stomach from the rest of the stomach. This tubular gastric pouch is then connected (anastomosed) to the intestine, bypassing up to 200cm of the upper part of the intestine. This technique differs from the traditional Roux-en-Y Bypass (RYGB) which requires two connections (anastomoses). Compare to the Sleeve Gastrectomy where the part of the stomach is removed, therefore it is not a reversible surgery, Mini Gastric Bypass is reversible and has a quicker weight loss profile.

Comparison of mini-gastric bypass with sleeve gastrectomy

Please follow the link and take a look at the comparison of mini-gastric bypass with sleeve gastrectomy

www.ncbi.nlm.nih.gov/pubmed/27444823

MINERAL / VITAMIN DEFICIENCY

Some nutrients (for example an iron, a vitamin B12, etc.) are absorbed in the duodenum, which is the part of the small intestine that is bypassed after an MGB. As the result, your body won't be able to absorb their adequate amounts any longer and you will have to use supplements for the entire life.

ADVANTAGES

  • Considerable improvement or even remission of co-morbidities (especially Diabetes type 2, Sleep Apnea)
  • Only one anastomosis - in theory, less chance of a complication, while a Roux-en-Y bypass has two and also MGB is less invasive
  • Better weight loss and a higher diabetes resolution rate compare to a Roux-en-Y bypass
  • Reversible
  • MGB is an effective, relatively low-risk, and low-failure bariatric procedure. In addition, it can be easily revised, converted, or reversed
    www.ncbi.nlm.nih.gov/pubmed/22411569
  • Overall, the MGB is very safe initially and in the long-term. It has reliable weight loss and complications similar to other forms of gastric bypass
    www.ncbi.nlm.nih.gov/pubmed/16259892

POSSIBLE COMPLICATIONS

  • Very high survival rate (close to 100%). Complications are similar to a Roux-en-Y bypass surgery
  • Minor complications include hernias at the surgical site, ulcers, and minor incision infections
  • Major complications typically are staple line leaks, pulmonary embolisms, strictures, among other risks - general anaesthesia risks exist, as with any procedure

5 most prevalent but still relatively uncommon:

  • Marginal Ulcers (~3% of patients)
  • Gastrointestinal bleeding (~3% of patients)
  • Wound Infection (~3% of patients)
  • Gastrointestinal Leak (~1% of patients)
  • Bile Reflux Esophagitis (< 1% of patient)

More information you can find for example here: www.ncbi.nlm.nih.gov/pmc/articles/PMC5022508/

GENERAL RISKS AND COMPLICATIONS

With all medical procedures, there is a risk of unforeseen, unknown or adverse reactions to anaesthesia, the medications used and type of procedure involved.

  • Stomach obstruction
  • Stomach kinking
  • Perforation
  • Internal bleeding
  • Infection
  • Injury to other organ
  • The need to convert to an open procedure

Please contact your physician or our Hot Line immediately if you have any concern regarding possible complications.

CONTRAINDICATIONS

Gastric Sleeve Resection is usually not recommended for people with any of the following:

  • If the surgery or treatment represents an unreasonable risk to the patient
  • Inflammatory diseases of the gastrointestinal tract such as ulcers, oesophagitis or Crohn’s disease
  • Gastric or eosophageal varices
  • Hiatus hernia
  • Severe cardiopulmonary diseases or other conditions which may make them poor surgical candidates in general
  • Dependency on alcohol or drugs
  • People with severe learning or cognitive disabilities or emotionally unstable people

SIDE EFFECTS

  • Nausea
  • vomiting
  • pain
  • cramps
  • diarrhea
  • constipation

Dr Michael Vrany, national leading bariatric surgeon

Dr Michael Vrany

Dr Vrany is a cofounder of laparoscopic and bariatric surgery in the Czech Republic and he is, most likely, the most experienced and qualified professional in the Czech Republic.

He started gastric band surgeries in 1996, gastric sleeve resection and gastric bypass surgeries in 1998.

He is recognized as the national leading expert in colorectal operations, pancreatic procedures, thyroid surgeries, spleen and liver operations, nephrectomies, prostatectomies, and suprarenal procedures.

more about Dr Vrany ...

Medical Travel Shield Insurance Included in the Package Price

medicaltravelshied.com

Standard trip or travel medical insurance policies DO NOT provide coverage if you are traveling for the purpose of obtaining medical treatment. These types of insurances will be of no help if a medical complication arises and would cancel any travel medical insurance policy.

Therefore our package prices include the Medical Travel Shield - the insurance which includes excellent travel insurance benefits plus a number of tailored benefits for patients travelling abroad to obtain medical treatment.

Before travel

The policy covers non-refundable treatment deposits, if a patient has to cancel or delay their trip

Up to £5,000 per insured person for irrecoverable payments for travel, accommodation and non-refundable deposits for cancellation of treatment for reasons specified in the Certificate of Insurance, including death, illness, jury service and major damage to the home.

During travel

If the patient's recovery period is longer than expected, the policy covers contributions towards accommodation and flights, plus a daily allowance.

Up to £1,500 per insured person towards accommodation costs, daily allowance and return flight home, if a patient has to stay at their destination for a longer time than the normal recovery period.

If the patient needs treatment for post-operative complications between discharge and return home, the policy covers contributions towards the cost of consultation fees and medication.

Up to £500 for additional medical expenses after discharge from hospital.

After travel

If the patient needs to return within 12 months to correct unsuccessful surgery, the policy covers contributions towards the return trip.

Offers the benefit of cover up to £2,000 if within 12 months of the original treatment, it is medically necessary for the patient to have a corrective procedure. The insurance will cover for return flights for the patient and a companion and a daily allowance.

Patient and Companion benefits

Benefits and ServicesSum insured
per person
Excess
5.1 Medical and Additional Expenses£2,000,000£100
5.2 Cancellation and Curtailment£5,000£100
5.3 Journey Continuation£250£100
5.4 Travel Delay
per 12 hours up to 48 hours
£25Nil
5.5 Personal Liability£1,000,000£250
5.6 Personal Accident£20,000Nil
5.7 Hospital Benefit
per 24 hours to max £1,500
£50Nil
5.8 Accompanied Personal Baggage, clothing or effects and Money
limited to £250 for Money,
£300 for any one article or
pair or set of articles
£1,000£100
5.9 Loss of Passport£250£100
5.10 Travel and accommodation expenses over and above the Normal Recovery Period
75% of accommodation expenses
75% of 1x economy single fare
Overall maximum of £1,500
£50
allowance per day
Nil
5.11 Additional Return Trip within 12 months of the original Treatment
1x economy return air fare
Overall maximum of £2,000
£50
allowance per day
£250

Patient only benefits

Benefits and ServicesSum insured
per person
Excess
5.12 Medical expenses for further medical consultation after discharge from the hospital
(but prior to return to the UK)
£500£100

Why go for Mini Gastric Bypass Abroad with Prague Beauty?

With Mini Gastric Bypass abroad you will save up to 50% of UK prices, and the quality of the procedure will be the same or even higher.

Our cosmetic and bariatric surgeons are senior consultants - they are fully accredited in plastic/general surgery, and are on the specialist register of surgeons. They use the latest techniques. Our aim is your comfort - no pain, no sickness. You stay few nights after the surgery at the clinic with full medical care (in many clinics you usually have to leave the hospital very early, even with drains etc.) and full board.

Personalised care. Our care is tailored according to your needs.

You can also take your partner / friend with you.

We will arrange everything for you so that you do not have to worry about anything. All is included in the price: return air tickets, from any European airport with direct flights to Prague, Medical Travel Shield Insurance, with the cover of corrective return trip, accommodation in a luxurious 4-star apartment (with breakfasts, kitchenette, TV and free Wi-Fi), all necessary transportation among airport - clinic - apartment, representative waiting for you at the airport and take care of you completely during your stay.

The number of happy clients is virtually 100%, and rate of all complications is 0.3% i.e. extremely low.

•  APPLY FOR A SURGERY

To apply for bariatric surgery,
please fill in a questionnaire
to assess your case

Questionnaire

•  Mini Gastric Bypass PRICES
Gastric MINI Bypass, MGB
BASIC
PRICE

WITHOUT
- air tickets

BUT WITH
+ insurance
+ accommodation
+ transportation
included
PACKAGE
PRICE

WITH
+ air tickets

AND WITH
+ insurance
+ accommodation
+ transportation
included
£5,750 £5,950
+ with 1 companion:
+ £650
Final prices, there are no hidden extras!
TYPEOT
CLINICJBC
ANAESTHESIAGA
HOSPITALIZATION4
nights
TOTAL OF STAY7
nights

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