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Apc a-00033-consensus conference
 

Apc a-00033-consensus conference

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    Apc a-00033-consensus conference Apc a-00033-consensus conference Presentation Transcript

    • a-00033 Dr. Robert RUTLEDGE Title of Paper: FIRST INTERNATIONAL CONSENSUS CONFERENCE ON MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS PARIS 2012; TECHNICAL PERFORMANCE Nationality: United States of America Position: Director Department: SurgeryOrganization: Center For Laparoscopic Obesity Surgery Tel: +1-702 714 0011 E-mail: drr@clos.net
    • FIRST INTERNATIONALCONSENSUS 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.