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Apc a-00036-survey comparison bariatric ops

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Apc a-00036-survey comparison bariatric ops

  1. 1. 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
  2. 2. 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
  3. 3. 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).
  4. 4. Purpose• The purpose of this paper is to report on the results of the survey reported comparisons of the• Band,• Sleeve,• RNY and• MGB.
  5. 5. Methods:• Bariatric surgeons were canvassed from around the world.
  6. 6. Results• Replies were obtained from• 29 countries,• 6 continents,• 49 surgeons attended the Paris conference and• 112 surgeons completed survey.
  7. 7. 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.
  8. 8. 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%.
  9. 9. 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
  10. 10. Results• Resolution of Diabetes was• B, S, R, M• 14%, 56%, 69% and 79% respectively.
  11. 11. 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%
  12. 12. 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

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