Grumpy Surgeons

Mini-Gastric Bypass	The Centers for Laparoscopic Obesity Surgery		Las Vegas "MGB Angels"
	Short, Simple, Effective Weight Loss Surgery


	Call Dr. Rutledge 702-215-9550 or Email: DrR@clos.net	Call Dr. Peraglie 407-922-3424 or Email: DrP@clos.net

The Mini-Gastric Bypass - (MGB)

The MGB is a short simple (average operating times are 38 minutes with less than 24 hr in the hospital) and "low risk" (mortality 0.06% and complication rate 4.2% ) laparoscopic weight loss surgery. It is far more effective than the LAP-BAND� and much safer than the RNY. In many ways the MGB approaches the ideal in surgical treatment of obesity. These excellent results that are far better than other forms of weight loss surgery have led to some criticism of the MGB. The MGB does have some long term risks (iron deficiency anemia and peptic ulcers) but over 8 years of experience with many surgeons unequivocally shows the MGB is an excellent choice as a long term treatment for serious obesity.

Like all surgery, including the Roux-en-Y, the MGB is serious, and may have complications and can be "life threatening."

There is some misunderstanding of the MGB. It is not the "old loop" gastric bypass.

The Mini-Gastric Bypass is different.

Many studies have shown problems with the old loop bypass. But, the Mini-Gastric Bypass is not the old loop gastric bypass, it is a different procedure. The previously problems and complications of the old-loop gastric bypass have been uncommon in the present series of 4,581 MGB patients. Since it is well recognized that the "old loop gastric" bypass routinely (~30%) leads to a number of well documented complications and since these complications are uncommon in the series of MGB patients, this shows that they are not be the same operation.

Mini-Gastric Bypass patients rarely develop esophagitis after MGB. In fact over two thirds of MGB patients have had esophageal reflux before the MGB and over 85% improve after the MGB.

There are good reasons to abandon the old loop. These are esophagitis, failure of weight loss.
The Mini-Gastric Bypass has few patients with esophagitis and the weight loss is comparable to or better than that reported in any other series.

What are the features of an "Ideal" Weight Loss Surgery? The MGB is Safe, results in Major Weight Loss, is Easily performed, it has Short operative times, it can be performed as an Outpatient or with a short hospital stay, it has Minimal Blood Loss, Minimal Pain, Very High Patient Satisfaction, A Good "Exit Strategy", rare adhesions or hernias, Minimal impact on Heart and Lungs, Low Failure Rate, Low Cost, Short Recovery Time, Rapid Return to Work, rare Pulmonary Embolus (0.08% ), Durable weight loss, Low Risk of Ulcer, No Plastic Foreign Body Material, Easily Verifiable Results, Procedure Performed by a High Volume Bariatric Surgeon

All surgery for weight loss have been shown to have a failure rate. The MGB is attractive in that it can be easily revised for additional weight loss.

Billroth II
The Billroth II gastrojejunostomy is a standard treatment for ulcer disease, stomach cancer, injury and other diseases of the stomach. The Billroth II connects the stomach to the jejunum, the upper portion of the small intestine.

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Contact Information: -Telephones: *** CLOS West: 702-456-4643; Trish Lanman 702-376-3446, Sandy Brubaker 702-376-3647; Jennifer Brubaker 702-376-9339, Dr. Rutledge 702-215-9550; 989-450-8081 Kim Hazen 989-450-8081 *** CLOS Florida: Flo Ballengee 863-899-3463 Wayne Robbins 704-682-1549 Elizabeth Robbins 704-928-6693 Dr. Cesare Peraglie 407-922-3424

Email Us Anytime for Help: Email: Dr. Rutledge DrR@clos.net, *** CLOS West: Trish Lanman Trish@clos.net, Sandy Brubaker SandyB@clos.net Dr. Rutledge DrR@clos.net, Kim Hazen khazen@clos.net *** CLOS Florida: Flo Ballengee flo@clos.net, Wayne Robbins wr@clos.net Elizabeth Robbins epr@clos.net Dr. Peraglie drp@clos.net

Addresses: Address: *** CLOS West Office: Dr Robert Rutledge / CELOS, 98 E Lake Mead Parkway Suite 302, Henderson NV 89015, Office 702-456-4643, Office fax: 702-456-1173, Contacts: Trish Lanman 702-376-3446 Trish@clos.net, Sandy Brubaker 702-376-3647 SandyB@clos.net, Jennifer Brubaker 702-376-9339 Jen@clos.net, Dr. Rutledge 702-215-9550 Drr@clos.net Kim Hazen 989-450-8081 khazen@clos.net *** CLOS Florida: 40124 Highway 27, Suite 203, Davenport, FL 33837, Wayne Robbins 704-682-1549, wr@clos.net, Elizabeth Robbins 704-928-6693 epr@clos.net, Dr. Peraglie 407-922-3424 drp@clos.net

Warning: Gastric Bypass Surgery is a MAJOR surgical procedure. It can be associated with significant risks and complications, up to and including death. Weight loss surgery is a rapidly developing area of medicine. Bariatric surgery is filled with controversy. It is very important to take a careful and deliberate approach to considering surgery for the treatment of obesity.

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This information is not medical advice or diagnosis, nor is it to be construed as medical advice, medical information, medical diagnosis, or medical prescription for curing, removing, or preventing any disease, or related symptoms. You must seek the direct assistance, advice and evaluation of your own personal physician before acting on any information found herein. These statements have not been evaluated by the Food and Drug Administration.
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