apc a-00033-consensus conference
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a-00033
Dr. Robert RUTLEDGETitle of Paper: FIRST INTERNATIONAL CONSENSUS
CONFERENCE ON MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS PARIS 2012; TECHNICAL
PERFORMANCENationality: United States of America
Position: DirectorDepartment: Surgery
Organization: Center For Laparoscopic Obesity SurgeryTel: +1-702 714 0011E-mail: [email protected]
FIRST INTERNATIONAL CONSENSUS CONFERENCE
MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS
PARIS 2012
Robert RUTLEDGE11Director, Surgery, Center For Laparoscopic Obesity Surgery, United States of America
FIRST INTERNATIONAL CONSENSUS CONFERENCE
MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS
PARIS 2012
Introduction
• The Mini-Gastric Bypass / One Anastomosis Bypass (MGB) is gaining international recognition.
Introduction
• In October 2012 • 50 surgeons from around the world met in
Paris for the • First International Consensus Conference
on the MGB/OAB. • Producing a consensus document on• Results and • Important technical performance issues
Purpose
• The purpose of this paper is to report on the results of the survey and discussions on the technical issues in performance of the MGB.
Methods:
• In Addition to Consensus Conference
• Surgeons were canvassed from around the world.
Results
• Replies were obtained from • 29 countries, • 6 continents, • 49 surgeons attended the Paris
conference and • 112 surgeons completed survey.
49 Surgeons from 29 Countries
Results
• Two methods of performing the MGB/OAB,
• One Anastomosis Gastric Bypass Anti-reflux Technique of Garcia-Caballero / Carbajo (OAGB) or the
• “Mini-Gastric Bypass” technique
Surgical Technique
• 27% used the OAGB technique and
• 68% used the “MGB technique of Rutledge.“
• Other Modified Rutledge/OA techniques
Results
• Intraoperative methylene blue test performed in 86.4%,
• intraoperative "Air Inflation" test used always by 29.2%,
• Postoperative NG tube 20.8%,
Results
• Post Op Drains; • 2 drains, Always 12.5%, • 1 drain, Always 54.2%.
• Postop UGI: • Always 33.3%; • Almost Never 25%; • Never 25%
Results
• Average # of MGB/OAB surgeon’s cases last year 221+41,
• Average age 41+9, mean BMI 46+5, • Average bougie size 35f+3, • # ports used 5, • Mean length of pouch (cm) 19+4, • Length of bypass (cm) 197+20, • Op time (minutes) 73+15, • Blood loss (ml) 51+11, • Hospital stay (d) 3.4+4.
Results
• Results reported to be excellent: • Resolution of Diabetes 79%, • Excess weight loss 76%,
(Three reported 100% +/- EWL)• Weight Loss "Failure" 3% and • 81% Lost More than 50% of EW.
Conclusions:
• The MGB/OAB is gaining worldwide use and recognition.
• The First International Consensus Conference on MGB / OAB demonstrated
• Key technical performance issues and
• Confirmed excellent outcomes in many surgeons around the world.