Options for Laparoscopic Metabolic Bariatric Surgery (MBS) 2026

There are 3 common types of primary procedures available:

  • Laparoscopic Sleeve Gastrectomy (LSG)
  • Laparoscopic One Anastomosis Gastric Bypass (Mini bypass) (OAGB)
  • Laparoscopic Roux Y Gastric Bypass (RYGBP)

These can be primary or revision/conversion procedures available:

  • Laparoscopic One Anastomosis Gastric Bypass (Mini bypass) (OAGB)
  • Laparoscopic Roux Y Gastric Bypass (RYGBP)
  • Laparoscopic Sleeve Gastrectomy plus Proximal Jejunal Bypass (SG-PJB)
  • Laparoscopic Re-Sleeve Gastrectomy (rLSG)

Another alternative

Laparoscopic Sleeve Gastrectomy plus Proximal Jejunal Jejunal Bypass (SG-PJB)

  • Potentially better weight loss result
  • Potentially less side effects and complications than a gastric bypass
  • Different to and a possible alternative to SADI-S and duodenal switch procedures

Please note:

MBS is a shared decision making process between the patient, family/friends/social support, GP, physicians, surgeon, allied health team, etc

  • There may be inadequate weight loss and/or weight gain recurrence after sleeve, OAGB, RYGBP or any type of MBS
  • There may be residual or recurrent hiatus hernia and reflux even after RYGBP
  • Post op gastroscopy is recommended after MBS