1. a-00023
Dr. Robert RUTLEDGE
Title of Paper: REPORTED EXPERIENCE WITH BAND, SLEEVE
GASTRECTOMY, ROUX-EN Y GASTRIC
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. REPORTED EXPERIENCE
WITH BAND, SLEEVE,
ROUX-EN Y AND
MINI-GASTRIC BYPASS
Robert RUTLEDGE1
1Director, Surgery, Center For Laparoscopic
Obesity Surgery, United States of America

3. Introduction
• The Mini-Gastric Bypass over the past
several years has been gaining interest
from selected surgeons.
• The purpose of this study was to survey
patients that had undergone MGB and ask
their opinion about the results of common
forms of bariatric surgery.

4. Methods:
• Routine follow up is performed on all
patients undergoing MGB.
• Questions related to patient’s friends
and family members experiences with
other forms of weight loss surgery.

5. Results
• When asked “Have your family, friends or
acquaintances had a Band, Sleeve, RNY or
MGB”
• 40%, 31%, 46% and 54% of
2,640 patients reported they had
Friends or family that had
Undergone
• Band, Sleeve, RNY or MGB respectively

6. Results
• Patients answered
• Band: 23.7% “Good Results”, 36.4% “Gained
weight back” and 39.9% “Complications.”
• Sleeve: 31.0% “Good Results”, 29.0%
“Gained weight back” and 40.0%
“Complications.”
• RNY: 32.4% “Good Results”, 35.6% “Gained
weight back” and 32.0% “Complications.”
• MGB: 92.8% “Good Results”, 1.9% “Gained
weight back” and 5.3% “Complications.”

7. Limitations
• Bias
• Study subjects had MGB!
• Of course they are likely to judge the
MGB highly

8. Conclusions:
• MGB patients reported remarkably positive
experiences in friends and family
• (93% Good Results).
• In contrast their experiences with the
Band, Sleeve and RNY were much more
negative.

9. Selected Bariatric Procedures
• RNY
• Band
• Sleeve
• MGB

10. Conclusions:
• In USA Practice of MGB
• Patients who select the MGB must pay
large out of pocket costs
• $20,000.00 !!!
• (No Insurance Coverage)
• Vs.
• FREE Band, Sleeve or RNY
(Covered by Insurance)

11. Conclusions:
• Given the cost of MGB ($20,000.00)
• Vs. FREE Band, Sleeve or RNY
• Why would anyone choose MGB in USA?
• This study may provide some insight into
this question

12. Conclusions
• Thus it suggests that individuals that
choose the MGB
• May well have had bad experiences
with the
• Band, Sleeve & RNY and
• Good experiences with MGB
• in Friends or Family.

13. Conclusions
• In conclusion 2640 MGB patients report
excellent results in friends and family
that have had MGB and
• Quite poor outcomes in friends and
family that have had the Band, Sleeve
and RNY
• This may explain the selection of the
MGB