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Critics of the Mini-Gastric Bypass were Wrong

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Critics of the Mini-Gastric Bypass were Wrong …

Critics of the Mini-Gastric Bypass were Wrong
MGB Results
In Short
By every measure
In every study
By Every Author
MGB Equal to or Better Than any other form of Bariatric Surgery
Critics Wrong
In Short:
Bariatric Surgeons who are well educated in the Basics of General Surgery
Choose the Mini-Gastric Bypass

Published in: Education

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Transcript

  • 1. "MGB vs RNY"
  • 2. I Give Up I Surrender the Debate MGB is NOT Here to "Kill" Anything
  • 3. But I am Also Here to Declare Victory
  • 4. The MGB has Won
  • 5. First MGB; Rutledge 1997 • Criticisms • MGB is the Old Mason Loop • Must take out Gallbladder • MGB will not lose weight • Dr Rutledge website & uses Email! • Bile Reflux • Gastric Cancer • Many more...
  • 6. In Short The Critics Were Wrong About Everything
  • 7. Do Not Have Time Address Every Critical Error Address Three: 1. MGB = Old Mason Loop 2. Fear of Bile Reflux 3. Fear of Gastric Cancer
  • 8. Critics Wrong 1. MGB = Old Mason Loop • In Short: • Mason Loop = Total Gastrectomy + Billroth II (Wrong) • MGB = Antrectomy + Billroth II (Right)
  • 9. Critics Wrong 1. MGB = Old Mason Loop • In Short: MGB Critics Forget their General Surgery • General, Trauma & Oncologic Surgeons Routinely USE Billroth II • Bariatric Surgeons FEAR the Billroth II
  • 10. Critics Wrong 2. Fear of Bile Reflux • In Short: • General Surgery: 130 yrs Billroth II; Bile Reflux RARELY a Problem • MGB Results 70+ Articles, 16,000+ cases, 10-15 yr FU, Reports from Americas, Europe, Asia Bile Reflux RARELY a Problem
  • 11. Critics Wrong 2. Fear Bile Reflux • In Short: MGB Critics Forget their General Surgery • General, Trauma & Oncologic Surgeons Routinely USE Billroth II • Bariatric Surgeons FEAR the Billroth II
  • 12. Critics Wrong 3. Fear Gastric Cancer • Many studies show NO increased Risk of GCA • In studies that DO increased Risk the rate is very small • (Two cat scans more cancer risk than Billroth II in worst case. Eating a Hot dog more dangerous than BIllroth II) • General Surgery: • Billroth II pt; Should NOT have FU Endoscopy RISK is TOO LOW • Oncologic surgeons in areas of the the highest risk of gastric cancer in the world use Billroth II routinely (China Korea)
  • 13. Critics Wrong 3. Fear Gastric Cancer • If you wish to FEAR Cancer after Bariatric Surgery • Fear Esophageal Cancer after Lap Band and Sleeve • 30% or more post op GERD and erosive esophagitis • Known precursors of Esophageal Cancer and one of the fastest rising cancers in USA
  • 14. Critics Wrong 3. Fear Gastric Cancer • In Short: MGB Critics Forget their General Surgery • General, Trauma & Oncologic Surgeons Routinely USE Billroth II • Bariatric Surgeons FEAR the Billroth II
  • 15. MGB Results • In Short • By every measure • In every study • By Every Author • MGB Equal to or Better Than any other form of Bariatric Surgery
  • 16. Critics Wrong • In Short: • Bariatric Surgeons who are well educated in the Basics of General Surgery • Choose the Mini-Gastric Bypass