1. a-00036
Dr. Robert RUTLEDGE
Title of Paper: INTERNATIONAL SURVEY COMPARISON OF
ADJUSTABLE 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. INTERNATIONAL SURVEY
COMPARISON OF
ADJUSTABLE BAND, SLEEVE,
ROUX-EN-Y AND MINI-
GASTRIC BYPASS
Robert RUTLEDGE1
1Director, Surgery, Center For Laparoscopic
Obesity Surgery, United States of America
3.
4. 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).
5. Purpose
⢠The purpose of this paper is to report
on the results of the survey reported
comparisons of the
⢠Band,
⢠Sleeve,
⢠RNY and
⢠MGB.
7. Results
⢠Replies were obtained from
⢠29 countries,
⢠6 continents,
⢠49 surgeons attended the Paris
conference and
⢠112 surgeons completed survey.
8. 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.
9. 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%.
10. 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
12. Results
⢠Surgeonâs 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%
13. 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