UPDATED Preliminary Program: MGB-OA Consensus Conference

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UPDATED Preliminary Program:  
MGB-OA Consensus Conference
*** Optional ***  Added Saturday LIVE Surgery
UPDATED Preliminary Program (Shortened link = http://wp.me/s2Dmx-mccp2 )

** Oct 18: Thursday morning : PUBLISHED DATA ON MGB

–      ***Hand out Voting Questionnaire for Consensus Voting***

–      Pr. JM Chevallier Charge to the Meeting; Listen, Learn, Discuss, Vote, Plan
Time: 8 min
Objectives:
1. Why Are We Here: MGB Excellent Therapy – Not Widely Recognized
2. Report of MGB Series: Is MGB Excellent/Best Practice Treatment for Obesity/Metabolic Disease
3. Technical Details of Best Performance of MGB
4. Plan for Adoption and Improvement of MGB around the World

Questions and Answers and Votes from Floor
Time: 8 min
1. Why is MGB not used by everyone
2. What are the Results of MGB
3. What are the Technical Details (Critical Success Factors of the MGB)
4. What Should Be the Next Steps in Adoption of MGB

–      Intro Safwan A Taha; Bariatric Surgery, Where are We Now and Where are We Going
Time: 8 Min
1. 2 min JIB, VBG, RNY, Band, Sleeve, Plication
2. 2 min History of Failure
3. 2 Min Rise of the MGB
4. 2 Min The Future

–      Kamal Mahawar & Dr P Lointer, MGB: Review of Literature on MGB
Time: 8 min
Objectives:
1. Literature Results Non-MGB
2. Review of MGB Series
3. Conclusion of Literature Review
4. Recommendations Based Upon Literature Review

Questions and Answers and Votes from Floor
Time: 8 min
1. Results of Non-MGB Bariatric Surgery is Not Ideal
2. Ideal Bariatric Surgery
3. Results of MGB
4. Recommendations based upon Literature review of MGB

–      Special Guest Presentations:
Dr. Narwaria  Former President Obesity Surg Soc India
My Journey to the MGB / MGB-In India
Time 8 min
1. Who Am I: Successful International leader in Bariatric Surgery
2. Initial Skepticism of MGB
3. Initial Results with MGB
4. Insights into the Mind of an MGB Skeptic

–      Pr. JM Chevallier President Obesity Surg Soc France:
What I know about MGB: 7 years experience
Time 8 min
1. Who Am I: Successful International leader in Bariatric Surgery
2. Initial Skepticism of MGB
3. Initial Results with MGB
4. Insights into the Mind of an MGB Skeptic

Questions and Answers and Votes from Floor
Time: 8 min
1. Why Should Presently Successful Bariatric Surgeons Choose MGB
2. Skepticism of MGB
3. Results of MGB
4. Response to MGB Skeptics

–     Michal Cierny          The Czech Experience (Ulcer & MGB)
Time: 8 min
1. Ulcer after MGB vs RNY
2. PreOp and Post Op Management Prevention
3. Treatment of Gastritis / Ulcer
4. No NSAIDs, Rx H.Pylori, Anti-Acids (PPI’s, H2 Blockers), Bismuth subsalicylate, Yogurt, No Smoking!!, Soda, Coffee, Etoh, Green Tea, Meat, Hand washing, Careful food prep, Safe water source

–     R Weiner :       MGB Results in Germany
Time 8 min
1. Bile Reflux Ulcer after MGB vs RNY
2. PreOp and Post Op Management / Prevention
3. Treatment of Gastritis / Ulcer
4. No NSAIDs, Rx H.Pylori, Anti-Acids (PPI’s, H2 Blockers), Bismuth subsalicylate, Yogurt, No Smoking!!, Soda, Coffee, Etoh, Green Tea, Meat, Hand washing, Careful food prep, Safe water source, *** Endoscopy ***, *** Surgery Revision ***

–      R Rutledge : Rational Choices in Bariatrics, Fear of Gastric Cancer/Marginal Ulcer
Time: 8 min
1. Performance Assessment Tool (What are the criteria of ideal weight loss / metabolic surgery, MGB Nearest to Ideal
2. Confused Surgeons; It is not the Bile that is feared but the Consequences (Cancer, Gastritis, Ulcer)
3. Fear Gastric Cancer
I. Unfounded
II. Fear Held by those with the LEAST Knowledge
4 Ulcer MGB = RNY

Questions and Answers and Votes from Floor
Time: 8 min
1. Ulcers / Gastritis in MGB
2. Ulcers / Gastritis Prevention
3. Ulcers / Gastritis Treatment
4. Surgery for Ulcers / Gastritis

–     Manuel Garcia Caballero:    One Anastomosis Gastric Bypass, Critical Advantages
Time 8 min
1. Bile Reflux After Billroth II
2. Caballero/Carbajo Anti-Reflux Stitch
3. 11 yr Results with OAB
4. Fear Bile Reflux => Do OAB

Questions and Answers and Votes from Floor
Time: 8 min
1. Bile Reflux After MGB
2. Anti-Reflux Stitch (OAB)
Sometimes / Always / Never
3. Rate of bile reflux After MGB
4. Management of Bile Reflux After MGB

–      Mario Musella          The Italian Experience; Technical Details of MGB Best Practice
Time: 8 min
1. Caliber & Length of sleeve
2. Length of Bypass
3. Anastomosis (hand-sewn, mechanical, side to side, end to side,linear stapler, circular stapler, Reinforcement of the staple gastric sleeve line, Reinforcement of the gastric remnant staple line, (seam-guard, peri-strip, fibrin glue, other sealant…) Closure of the stapler access (single layer, double layer, mechanical continuous suture, manual continuous suture, mechanical interrupted stitches, manual interrupted stitches…)
4. Only ONE WAY or Multiple Equally Good Ways to Perform MGB

–     C Peraglie
Time: 8 min
1. Caliber & Length of sleeve
2. Length of Bypass
3. Anastomosis (hand-sewn, mechanical, side to side, end to side,linear stapler, circular stapler, Reinforcement of the staple gastric sleeve line, Reinforcement of the gastric remnant staple line, (seam-guard, peri-strip, fibrin glue, other sealant…) Closure of the stapler access (single layer, double layer, mechanical continuous suture, manual continuous suture, mechanical interrupted stitches, manual interrupted stitches…)
4. Only ONE WAY or Multiple Equally Good Ways to Perform MGB

Questions and Answers and Votes from Floor
Time: 8 min
1. MGB; Technical Details; Critical Success Factors
2. MGB-Sleeve
3. MGB Bypass
4. MGB-Gastro-Jejunostomy

–      Rui Ribeiro              Portugal Experience: Technical Details II: MGB Part 1: Gastric Pouch
Time 8 min

1. Surgeon/Patient Position, Ports Position/Placement,

2. Location of pouch initiation, Skeletonization of lesser curve,

3. Creation of the pouch:

Use of the staple gun, Covidien/Ethicon: Pros & Cons,

Location and angle of first staple cartridge

Cartridge selection: White/Blue/Gold/Green,

Delays: Before and During Staple Gun Firing

4. Wisdom of Old Men:

Fear “Thickness”,

Fear The Tube/Bougie/NC tube

Fear the angle of His

–     Jan Apers                Dutch experience with MGB
Time 8 min
1. Dutch Experience with MGB
2. Running the Bowel, Distance of the bypass, Tailoring the length bypass
3. Leaks after MGB
4. Managing Leaks

Directed Discussion:  Agreements and Controversies
–     Panel: Chevalier, Caballero, Tacchino, Kular, Peraglie, Nawaria, Weiner
–     Moderator/Floor Person: Rutledge
–     Recorders: Musella, Van Den Bossche,

** Thursday afternoon : LONG TERM STUDIES AND OTHER TOPICS

–      Sandeep Aggarwal   Role of MGB vs Other Surgery
Time 8 min
1. Band vs MGB
2. BPD vs MGB
3. RNY vs MGB
4. Sleeve vs MGB

– Dr Jean Cady   : MGB as Rescue for Failed Band
Time 8 min
1. Band is Good choice?
2. Failure Rate (Weight Regain, Reflux) and Leak Rate
3. FU Band and MGB, complications and Weight Loss
4. Band vs MGB;  50% vs 90% Success

–      K S Kular:                 MGB vs Sleeve; A comparison and Prediction of the Future
Time 8 min
1. Sleeve is Good choice for Many
2. Failure Rate (Weight Regain, Reflux) and Leak Rate
3. 3 yr FU Sleeve and MGB, Pouch Dilation and Weight Loss
4. Lee; Sleeve vs MGB,  50% vs 90% Success

–     R Tacchino : MGB and BPD; compare and contrast
Time 8 min
1. BPD is Good choice for Many
2. Failure Rate (Weight Regain, Reflux) and Leak Rate
3. 3 yr FU BPD and MGB, Pouch Dilation and Weight Loss
4. BPD, Band, Sleeve, MGB My Advice and Perspective

–     Dr. Atul N.C Peters   MGB compared to RYGB
Time 8 min
1. RNY is Good choice for Many
2. Failure Rate (Weight Regain, Reflux) and Leak Rate
3. FU RNY and MGB, Bowel Obstruction and Weight Regain
4. RNY, BPD, Band, Sleeve, MGB My Advice and Perspective

– Questions and Answers and Votes from Floor
Time: 8 min
1. Long Term Expectations and Predictions of Band, Sleeve, RNY, BPD Outcomes
2. Long Term MGB Outcomes
3. Band, Sleeve, RNY, BPD vs. MGB Recommendations
Always Choose MGB (Rutledge Doctrine)
Always Choose Band, Sleeve, RNY, BPD
Tailored Approach
When to choose Band, Sleeve, RNY, BPD
When to choose MGB
4. BPD vs. MGB Need for Further Study

–      Emilio Manno,     Long term experience, Complications and Management
1. Italian Experience of MGB
2. Anemia
3. Ulcer
4. Inadequate / Excess Weight Loss / Other Complications

–    Michael Van den Bossche; UK experience with MGB; Complications and Management

Time 8 min

1. UK Experience of MGB
2. Anemia
3. Ulcer
4. Inadequate / Excess Weight Loss / Other Complications

** Friday morning : TIPS and Tricks , COMPLICATIONS and risks

–     K S Kular: How I Came to the MGB; My Path Cannot Be Your Path
Time 8 min
1. Background Leading to Consideration of MGB
2. Data Supporting My Decision to Choose MGB 5 years Ago
3. Struggle to Offer MGB
4. Advice from My Experience

–     Karl-Peter.Rheinwalt Germany Starting/Integrating New MGB Program
Time 8 min
1. Background Leading to Consideration of MGB
2. Data Supporting My Decision to Choose MGB 5 years Ago
3. Struggle to Offer MGB
4. Advice from My Experience

–     Maurizio De Luca   Complication of mini-gastric bypass
Time 8 min
1. My Consideration of MGB
2. My Results of MGB
3. Complications and Outcomes
4. Advice from My Experience

Voting CONSENSUS : QUESTIONS AND ANSWERS
Questionnaire and the answers of the floor
Plans for Future
— IFSO European Chapter
— IFSO 2013 1 day MGB Interest Group
— Paris Oct 2013?
— Excess Funds from Meeting? Use
— International Collaboration and Assistance / Organization and Founding Members and Officers

Bold Database Interface

Optional ADDED Saturday LIVE Surgery
4 Select Surgeons Invited to View Live Surgery in Paris with Dr Jean Cady/DrRutledge
Surgeons and 20 Other Slots Added to Watch Live Streaming Surgery
Meet Following Surgery for Group Discussion
Possible Dinner Meeting to Follow

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National Data Clearly Shows the MGB Advantages in Length of Stay

One common and important measure of quality of care is hospital length of stay.

Although not perfect, in general, hundreds of studies and guidelines have shown that shorter length of stay is associated with better quality of care.

Recent data show that for the RNY patients operated at the best centers in the US less than 1-2 % of patients stay in the hospital for 1 day (24 hours or less)

In contrast over 94% of MGB patients are hospitalized for 24 hours or less.

Amplify’d from clos.net


Thinking About a
RNY?  Newly Published Data:  RNY Bypass Hospital Stay
2-3 Times Longer than Mini-Gastric Bypass

Newly published data (Nationwide Inpatient Sample, Bariatric
Outcomes Longitudinal Database and University Health Consortium)
shows that hospital stay for RNY Gastric Bypass patients it
2-3 times longer than the median 1 day stay for the
Mini-Gastric Bypass with Dr. Rutledge.  The national
standard setting company Milliman and Robertson has suggested a
new standard goal for hospital stay for gastric bypass be
moved
to 1 day, based, in part, on Dr. Rutledge’s results with the
MGB.  Several prominent RNY surgeons wrote that
forcing RNY patients to meet the 1 day hospital stay attained by Dr.
Rutledge with the MGB would
seriously endanger RNY bypass
patients
.  MGB short, simple effective and revisable
surgery.  Median hospital stay 1 day in the hospital.


In another recent study:
Stricture After RNY:
4-10%, Reoperation 4-5% and Leak 1%
,  A review of patients
who underwent RNY: Stricture rate 10% and 4% in the hand-sewn
group. 4 patients from the stapled group and 6 from the
hand-sewn group (5%) needed early reoperation

Read more at clos.net

 

What is the Mini-Gastric Bypass?

The Mini Gastric Bypass (MGB) is a Short, Simple, Successful, Reversible Laparoscopic gastric bypass weight loss surgery. The operation usually takes only 30 min., hospital stay less than 24 hours. The Mini Gastric Bypass (MGB) is low risk, has excellent long term weight loss, minimal pain and can be easily reversed or revised.
Dr. Rutledge’s opinion: the MGB is short, simple and revisable; Like the Band but it is powerful like the RNY but unlike the RNY it is easily revisable (~30-60 minutes.)
The MGB cuts hunger by over half in contrast to the band which leaves patients hungry and vomiting when they eat healthy foods.
Why have over 6,000 people come from every state in America and from over a dozen foreign countries to have surgery with Dr. Rutledge?
Why have thousands of people turned down a free, insurance paid, RNY or band, and paid, out of their own pocket, for an MGB!
Find out why doctors (surgeons, ER physicians, anesthesiologists, gynecologists, internists, family doctors and gastroenterologists) nurses and dentists are choosing to forgo their insurance coverage for a band or a RNY and come to Dr. Rutledge for the MGB?
Why are surgeons in France, England, the Netherlands, Belgium, Italy, Sicily, Germany, Austria, Spain, Turkey, India, Lebanon, Israel, Hong Kong, Taiwan, Australia, Costa Rica, Columbia, and more now choosing to abandon the band, reject the RNY and offer the MGB? Find out why? Call Dr. Rutledge right now at 702-714-0011 or email at DrR@clos.net

Amplify’d from clos.net




What is the Mini-Gastric Bypass?
 
MGB = Short, Simple, Effective Weight Loss Surgery, that can be easily revised if needed



The Mini Gastric Bypass (MGB) is
a Short, Simple, Successful, Reversible Laparoscopic gastric
bypass weight loss surgery. The operation usually takes only
30 min., hospital stay less than 24 hours. The Mini Gastric
Bypass (MGB) is low risk, has excellent long term weight
loss, minimal pain and can be easily reversed or revised. 
oDr. Rutledge’s opinion: the MGB is short, simple and
revisable; Like the Band but it is powerful like the RNY but
unlike the RNY it is easily revisable (~30-60 minutes.) 

oThe
MGB cuts hunger by over half in contrast to the band which
leaves patients hungry and vomiting when they eat healthy foods. 

oWhy
have over 6,000 people come from every state in America and from
over a dozen foreign countries to have surgery with Dr.
Rutledge? 
oWhy
have thousands of people turned down a free, insurance paid, RNY
or band, and paid, out of their own pocket, for an MGB! 

oFind
out why doctors (surgeons, ER physicians, anesthesiologists,
gynecologists, internists, family doctors and
gastroenterologists) nurses and dentists are choosing to forgo
their insurance coverage for a band or a RNY and come to Dr.
Rutledge for the MGB? 
oWhy
are surgeons in France, England, the Netherlands, Belgium,
Italy, Sicily, Germany, Austria, Spain, Turkey, India, Lebanon,
Israel, Hong Kong, Taiwan, Australia, Costa Rica, Columbia, and
more now choosing to abandon the band, reject the RNY and offer
the MGB? 
oFind
out why? 
oCall
Dr. Rutledge right now
at

702-714-0011
or email at
DrR@clos.net

Read more at clos.net

 

Median Stay in the Hospital for MGB = 1 Day; RNY Stay in Hospital 2-3 days

Median Stay in the Hospital for MGB = 1 Day; RNY Stay in Hospital 2-3 days
Thinking About a RNY? Newly Published Data: RNY Bypass Hospital Stay 2-3 Times Longer than Mini-Gastric Bypass
Data newly published data (Nationwide Inpatient Sample, Bariatric Outcomes Longitudinal Database and University Health Consortium) shows that hospital stay for RNY Gastric Bypass patients it 2-3 times longer than the median 1 day stay for the Mini-Gastric Bypass with Dr. Rutledge. The national standard setting company Milliman and Robertson has suggested a new standard goal for hospital stay for gastric bypass be moved to 1 day, based, in part, on Dr. Rutledge’s results with the MGB. Several prominent RNY surgeons believe that forcing RNY patients to meet the 1 day stay attained by Dr. Rutledge with the MGB would seriously endanger RNY bypass patients. MGB short, simple effective and revisable surgery. Median hospital stay 1 day in the hospital.

Amplify’d from clos.net

Thinking About a
RNY?  Newly Published Data:  RNY Bypass Hospital Stay
2-3 Times Longer than Mini-Gastric Bypass


Data
newly published data (Nationwide Inpatient Sample, Bariatric
Outcomes Longitudinal Database and University Health Consortium)
shows that hospital stay for RNY Gastric Bypass patients it
2-3 times longer
than the median 1 day stay for the
Mini-Gastric Bypass
with Dr. Rutledge.  The national
standard setting company Milliman and Robertson has suggested a
new standard goal for hospital stay for gastric bypass be moved
to 1 day, based, in part, on Dr. Rutledge’s results with the
MGB.  Several prominent RNY surgeons believe that
forcing RNY patients to meet the 1 day stay attained by Dr.
Rutledge with the MGB would seriously endanger RNY bypass
patients.
  MGB short, simple effective and revisable
surgery.  Median hospital stay 1 day in the hospital.

Read more at clos.net

 

MGB and Kidney Stones

Dr. Rutledge talks about kidney stones and the Mini-Gastric Bypass (MGB.)

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Renal (Kidney) Stones

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3:53

Dr. Rutledge talks about kidney stones and the
Mini-Gastric Bypass (MGB.) Contact Dr. Rutledge: E Contact Dr. Rutledge:
Email: DrR@clos.net, Web

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Dr Rutledge Kidney Stones and the
Mini-Gastric Bypass

3:53   December 23, 2008

Education

DrRRutledge

Dr. Rutledge talks about kidney
stones
and the Mini-Gastric Bypass (MGB.) Contact Dr. Rutledge:
E Contact Dr. Rutledge: Email: DrR@clos.net, Web


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Dr Rutledge talks about Kidney Stone and the
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Short, Simple, Effective Weight

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Kidney Stones and the Mini-Gastric
Bypass

5:55   August 04, 2009

Education

DrRRutledge

Dr Rutledge talks about Kidney
Stone
and the Mini-Gastric Bypass. The Centers for Laparoscopic
Obesity Surgery; Short, Simple, Effective Weight


127 views
Kidney Stones and the  Mini-Gastric BypassAdded to
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Dr Rutledge talks about Kidney Stone and the
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Short, Simple, Effective Weight

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Kidney Stones and the Mini-Gastric
Bypass

3:56   August 15, 2009

Education

DrRRutledge

Dr Rutledge talks about Kidney
Stone
and the Mini-Gastric Bypass. The Centers for Laparoscopic
Obesity Surgery; Short, Simple, Effective Weight


238 views

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Dr Rutledge talks about Kidney Stone and the
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Short, Simple, Effective Weight

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DrRRutledge

Kidney Stones and the Mini-Gastric Bypass

Dr. Rutledge talks about Kidney Stone and the Mini-Gastric Bypass.

http://www.youtube.com/watch?v=JZdYtgbbFp0 , http://www.youtube.com/watch?v=Kb9pHYE9ePc , http://www.youtube.com/watch?v=JZdYtgbbFp0

http://www.youtube.com/watch?v=LR-OiQD5SVc

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