a-00036

Dr. Robert RUTLEDGETitle of Paper: INTERNATIONAL SURVEY COMPARISON OF ADJUSTABLE BAND, SLEEVE GASTRECTOMY, ROUX-EN-Y

BYPASS AND MINI-GASTRIC BYPASSNationality: United States of America

Position: DirectorDepartment: Surgery

Organization: Center For Laparoscopic Obesity SurgeryTel: +1-702 714 0011E-mail: drr@clos.net

INTERNATIONAL SURVEY COMPARISON OF

ADJUSTABLE BAND, SLEEVE, ROUX-EN-Y AND MINI-

GASTRIC BYPASS

Robert RUTLEDGE11Director, Surgery, Center For Laparoscopic Obesity Surgery, United States of America

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).

Purpose

• The purpose of this paper is to report on the results of the survey reported comparisons of the

• Band, • Sleeve, • RNY and • MGB.

Methods:

• Bariatric surgeons were canvassed from around the world.

Results

• Replies were obtained from • 29 countries, • 6 continents, • 49 surgeons attended the Paris

conference and • 112 surgeons completed survey.

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.

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%.

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

Results

• Resolution of Diabetes was

• B, S, R, M

• 14%, 56%, 69% and 79%

respectively.

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%

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