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

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.

6. Methods:
• Bariatric surgeons were canvassed
from around the world.

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

11. Results
• Resolution of Diabetes was
• B, S, R, M
• 14%, 56%, 69% and 79%
respectively.

12. 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%

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