Apc a-00033-consensus conference

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Apc a-00033-consensus conference

  1. 1. 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
  2. 2. FIRST INTERNATIONALCONSENSUS CONFERENCE MINI-GASTRIC BYPASS /ONE ANASTOMOSIS BYPASS PARIS 2012 Robert RUTLEDGE11Director, Surgery, Center For Laparoscopic Obesity Surgery, United States of America
  3. 3. FIRST INTERNATIONAL CONSENSUS CONFERENCE MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS PARIS 2012
  4. 4. Introduction• The Mini-Gastric Bypass / One Anastomosis Bypass (MGB) is gaining international recognition.
  5. 5. 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
  6. 6. 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.
  7. 7. Methods:• In Addition to Consensus Conference• Surgeons were canvassed from around the world.
  8. 8. Results• Replies were obtained from• 29 countries,• 6 continents,• 49 surgeons attended the Paris conference and• 112 surgeons completed survey.
  9. 9. 49 Surgeons from 29 Countries
  10. 10. 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
  11. 11. Surgical Technique• 27% used the OAGB technique and• 68% used the “MGB technique of Rutledge.“• Other Modified Rutledge/OA techniques
  12. 12. Results• Intraoperative methylene blue test performed in 86.4%,• intraoperative "Air Inflation" test used always by 29.2%,• Postoperative NG tube 20.8%,
  13. 13. Results• Post Op Drains;• 2 drains, Always 12.5%,• 1 drain, Always 54.2%.• Postop UGI:• Always 33.3%;• Almost Never 25%;• Never 25%
  14. 14. 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.
  15. 15. 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.
  16. 16. 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.

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