Apc a-00036-survey comparison bariatric ops
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Apc a-00036-survey comparison bariatric ops






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    Apc a-00036-survey comparison bariatric ops Apc a-00036-survey comparison bariatric ops Presentation Transcript

    • a-00036 Dr. Robert RUTLEDGETitle of Paper: INTERNATIONAL SURVEY COMPARISON OFADJUSTABLE BAND, SLEEVE GASTRECTOMY, ROUX-EN-Y BYPASS AND MINI-GASTRIC BYPASS Nationality: United States of America Position: Director Department: Surgery Organization: Center For Laparoscopic Obesity Surgery Tel: +1-702 714 0011 E-mail: drr@clos.net
    • INTERNATIONAL SURVEY COMPARISON OFADJUSTABLE BAND, SLEEVE, ROUX-EN-Y AND MINI- GASTRIC BYPASS Robert RUTLEDGE11Director, Surgery, Center For Laparoscopic Obesity Surgery, United States of America
    • Introduction• As part preparation for the• First Mini-Gastric Bypass /• One Anastomosis Bypass (MGB)• Consensus Conference• Worldwide survey of bariatric surgeons was performed asking surgeons to report their experience and opinions of the• Band (B), Sleeve Gastrectomy (S), Roux-en-Y Bypass (R) and Mini-Gastric Bypass (M).
    • Purpose• The purpose of this paper is to report on the results of the survey reported comparisons of the• Band,• Sleeve,• RNY and• MGB.
    • Methods:• Bariatric 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.
    • Results• Mean op times• B, S, R, M were• 41, 62, 121 and 71 minutes;• Hospital stay was• 1.7, 3.7, 4.1 and 3.4 days• Respectively.
    • Results• Excess weight loss for B, S, R, M was• 43%, 56%, 62% and 76%,• Weight Loss "Failure" (%)• 34%, 22%, 12% and 3% and• % that Lost More than 50% of EBW• 27%, S 57%, R 66% and MGB 81%.
    • Results• Failure rate after the Band was felt to be very common after• Band in 76%• Sleeve, RNY and MGB in• 14%, 5% and 5%, respectively
    • Results• Resolution of Diabetes was• B, S, R, M• 14%, 56%, 69% and 79% respectively.
    • Results• Surgeon’s were asked do• "patients routinely get major weight loss"• Band; Agree 8.3%• Sleeve; Agree 66.7%• RNY; Agree 87.5%• MGB; Agree 95.7%
    • Conclusions:• Numerous bariatric procedures offered• According to this survey• Band appears to be the least effective• Sleeve & RNY judged intermediate• MGB to be one of the most effective