Apc a-00033-consensus conference
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The document summarizes the results of the First International Consensus Conference on Mini-Gastric Bypass/One Anastomosis Bypass held in Paris in 2012. 112 surgeons from 29 countries completed a survey on their techniques and results. The conference developed a consensus on the technical performance of the procedure, which involves creating a small gastric pouch and bypassing most of the stomach and small intestine. Results reported were excellent weight loss and resolution of diabetes in the majority of patients.
Apc a-00033-consensus conference
- 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: Surgery Organization: Center For Laparoscopic Obesity Surgery Tel: +1-702 714 0011 E-mail: drr@clos.net
- 2. FIRST INTERNATIONAL CONSENSUS CONFERENCE MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS PARIS 2012 Robert RUTLEDGE1 1Director, Surgery, Center For Laparoscopic Obesity Surgery, United States of America
- 3. FIRST INTERNATIONAL CONSENSUS CONFERENCE MINI-GASTRIC BYPASS / ONE ANASTOMOSIS BYPASS PARIS 2012
- 4. Introduction • The Mini-Gastric Bypass / One Anastomosis Bypass (MGB) is gaining international recognition.
- 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. 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. Methods: • In Addition to Consensus Conference • Surgeons were canvassed from around the world.
- 8. Results • Replies were obtained from • 29 countries, • 6 continents, • 49 surgeons attended the Paris conference and • 112 surgeons completed survey.
- 9. 49 Surgeons from 29 Countries
- 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. Surgical Technique • 27% used the OAGB technique and • 68% used the “MGB technique of Rutledge.“ • Other Modified Rutledge/OA techniques
- 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. 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. 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. 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. 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.