The mini gastric bypass, also known as the One Anastomosis Gastric Bypass, is a weight loss surgery that combines aspects of both gastric bypass and sleeve gastrectomy. It is designed to help patients lose weight by restricting food intake and reducing the body’s ability to absorb calories. The procedure involves creating a small pouch from the stomach and rerouting the small intestine to this pouch, leading to reduced food intake and decreased calorie absorption.
Mini Gastric Bypass
Mini Gastric Bypass
Similar to the standard gastric bypass, the first step of the mini gastric bypass procedure involves creating a small stomach pouch. The surgeon removes a portion of the stomach and forms a pouch about the size of an egg. This pouch significantly limits the amount of food that can be consumed at once, helping to reduce overall food intake.
After the pouch is created, the surgeon reroutes the small intestine to connect it to the newly formed stomach pouch. The rerouting involves bypassing a portion of the small intestine, reducing the area where food is absorbed. This results in fewer calories and nutrients being absorbed by the body, contributing to weight loss. Unlike traditional gastric bypass, where two connections (anastomoses) are made, the mini gastric bypass uses only a single anastomosis, simplifying the process and reducing potential complications.
The surgery is typically performed laparoscopically, meaning it is minimally invasive. Small incisions are made in the abdomen, and a camera (laparoscope) is used to guide the surgeon throughout the procedure. This approach results in quicker recovery times, reduced risk of complications, and less post-surgical discomfort compared to traditional open surgery.


Before considering the mini gastric bypass, it is important to be familiar with the potential risks of bariatric procedures. Risks vary based on the health of the patient.
- Minor Complications
- Major Complications
- Minor wound or skin infection
- Excess / loose skin
- Vomiting or nausea
- Acid reflux (heartburn)
- Changes in bowel habits like constipation, diarrhea, bloating, cramping, or gas
- Gastric ulcer or anastomotic stricture
- Development of gallstones or gallbladder disease
- Nutritional deficiencies as a result of food bypassing the stomach
- Dumping syndrome when high sugar foods move too fast from the stomach to the small intestine


- Internal Bleeding
- Intestinal obstruction
- Blood clots in the legs or lungs
- Internal hernia
- Perforation of stomach/intestine or leakage

