IMAGINE! SHORT, SIMPLE & EFFECTIVE


Dr Rutledge

First International Consensus Conference on
the Mini-Bypass / One Anastomosis Bypass


October 18 to October 19
Paris Paris Charles de Gaulle Airport Marriott Hotel



Dr. Rutledge & 4 MGB Patients 1 Year After Surgery
CLOS (The Centers for Laparoscopic Obesity Surgery) Florida
Contact Us:  Dr Peraglie 407-922-3424, DrP@clos.net, Flo Ballengee 863-899-3463, flo@clos.net
News From India!  Lap Band Abandoned;  Lap band went from most popular choice in the country to less than 1% of all weight loss surgery in 2011! No More Bands in India because of poor outcomes.
The Mini-Gastric Bypass BLOG
: http://minibypass.wordpress.com/  
Stay up to date with new streaming information about the MGB and the science of health and information: http://minibypass.wordpress.com/ for news on MGB / CLOS Florida visit: http://mgbfl.wordpress.com/
Get the New FLORIDA MGB Instructions Notebook, For the process of getting the MGB (Click Here) Be patient, it will open in a new window as a PDF file and can be read or printed out.
Dr Rutledge Teaching in Germany
 
What is the Mini-Gastric Bypass?
More Effective than the Band, Safer than the RNY
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.  The Mini-Gastric Bypass was developed and pioneered by Dr. Robert Rutledge. 
    It's our 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. Peraglie and 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. Peraglie and 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. Peraglie 407-922-3424 or Email: DrP@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. Peraglie and 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
Thinking about Getting a Gastric Band?  Stunning New Research Statement from "Canadian Lap Band Group: "... Placement of a gastric band appears to be a disservice ..."
"The placement of a gastric band appears to be a disservice to many morbidly obese patients and therefore, in the current culture of evidence based medicine, the prevalent use of laparoscopic
gastric banding can no longer be justified. "  Dr.'s Guller, Klein and Hagen from the Center for Excellence in Bariatric Surgery, University of Toronto, Department of Surgery, Ontario, Canada.uguller@yahoo.com Furthermore, they state: "There is mounting and convincing evidence that laparoscopic gastric banding is suboptimal at best in the management of morbid obesity. "
"Although short-term morbidity is low and hospital length of stay is short, the rates of long-term complications and band removals are high, and failure to lose weight after laparoscopic gastric banding is prevalent."   The use of laparoscopic gastric banding may seem appealing at first as the rate of early post-operative complications is low and the hospital stay short[8]. However, there have been numerous reports on long-term complications such as band slippage and migration, pouch and esophageal dilation, port-site infection, and failure to lose weight, all of which frequently require the band removal [8-16].
CHOOSE YOUR WEIGHT LOSS SURGERY WISELY

Roux-en-Y Gastric Bypass

Mini-Gastric Bypass

Lap-Band

Most common operation

Thousands of Successful patients

Restrictive only

Complex operation, multiple areas of abdomen involved

Simple Operation

Simple operation

Higher risk (Higher chance of death or prolonged hospitalization)

Lower risk (less chance of death or prolonged hospitalization)

lower risk (less chance of death or prolonged hospitalization)

Moderately effective, moderate failure rate

Better weight loss, low failure rate.

Much less weight-loss, and high rate of failure 1-2 years after surgery

Deficiency in mineral absorption, requiring long-term supplements

Low risk of malabsorption

No malabsorption or vitamin deficiencies

Dumping syndrome (intolerance to sugars and some carbohydrates)

Minimal dumping syndrome

No Dumping syndrome

Not reversible by most surgeons

Reversible

Reversible

No significant hardware in body

No foreign body

Long term plastic material in body

More expensive procedure

Less expensive procedure

The Band must be adjusted for best success

OK, I Have Decided. I Want the Mini-Gastric Bypass.  What Do I do Now?
Download and Print the Patient Resource Manual by Dr. Rutledge;
12 Steps to MGB Surgery Checklist Packet Process:

 Step 1 Get Started: Join the Online MGB Groups, Read the manual and complete the patient information form online,  2 Doctor’s Letter and History and Physical Examination, 3 Psych Evaluation, 4 Patient Contacts: Talk to 5 Previous MGB patients (join our email groups (Google, Yahoo and Ning), 5 PreOp Permit: Show your knowledge of the risks and benefits of the surgery, 6 Family Permit: Show your families’ support and knowledge of the risks and benefits of the surgery, 7 Pictures, 8 Privacy Policy: HIPPA Form, 9 Insurance Release: Dr Peraglie and Rutledge do not participate in insurance plans, 10 List Medications and Allergies (Detailed), 11 Contact Billing Information, 12 PreOp and Post Op Prescriptions
Increasing Prices
Because of rising business costs we are raising the price of the MGB back to our original price of $17,000. effective September 15 2011.  We have made every attempt to avoid this increase, but our business expenses and our commitment to high quality care force us to make this change.  Although we are working hard to improve insurance coverage for the MGB, at this time we felt that this is our only recourse. We know that this severely limits the MGB to people who can afford this cost.  Our long term goal is insurance coverage and free access to the MGB for all who need it across the US and around the world.  Unfortunately that day is not today.  We think you will agree that the quality of care we provide should not be sacrificed. We look forward to another year of of caring for our patients.  Please keep all of us, our patients and those who cannot afford the MGB in your thoughts and prayers
Visit the Mini-Gastric Bypass Blog: Stay Up to Date with the Latest in Medicine, Surgery Related to Obesity

Visit Our Blog, Recent Posts: o"MAKE SURE YOU QUIT SMOKING & CAFFEINE",  o"Watermelon May Reduce Fat & Improve Diabetes",  o"Therapeutic role of creatine",  o"Probiotics/Yogurt help Lactose Digestion",  o"Dexmedetomidine Improves Outcomes",  o"Vitamin E may * Increase * Mortality",  o"Vegetarian Diet May Help Reduce Risk", and more...

The Mini-Gastric Bypass "Taking Off" in Europe: Salzburg Austria, and Paris France
Dr. Rutledge operated as a visiting professor with the president of the International Federation of Surgery of Obesity and the President of the French Society of Obesity Surgery.  The MGB is spreading through out Europe and it is estimated that 20% of weight loss surgery in France is performed using the MGB technique developed and pioneered by Dr. Rutledge.  9th International Obesity Surgery Expert Meeting Saalfelden, near Salzbug, Austria which took place April 3-6, 2011. 

Dr. Rutledge had two presentations and moderated * Omega Loop Bypass - Technical Performance and Results: Advice from 14 years experience, * MGB/Omega Loop Bypass: Bile Reflux and Complication Management.  Electronic voting showed over 70% of expert bariatric surgeons were interested in offering the MGB or learning more about it for their practice.

Please Help Us, Fill Out a Follow up Form!!
We are particularly interested in survey results rating your surgeon and a new section on heart disease before and after surgery  Tell us what has happened to you since you contacted us. Email questions:   (https://www.surveymonkey.com/s/mgbfollowup )
OK, I Have Decided. I Want the Mini-Gastric Bypass.  What Do I do Now?
12 Steps to MGB Surgery Checklist Packet Process: Step 1 Get Started: Join the Online MGB Groups, Read the manual and complete the patient information form online,  2 Doctor’s Letter and History and Physical Examination, 3 Psych Evaluation, 4 Patient Contacts: Talk to 5 Previous MGB patients (join our email groups (Google, Yahoo and Ning), 5 PreOp Permit: Show your knowledge of the risks and benefits of the surgery, 6 Family Permit: Show your families’ support and knowledge of the risks and benefits of the surgery, 7 Pictures, 8 Privacy Policy: HIPPA Form, 9 Insurance Release: Dr Peraglie and Rutledge do not participate in insurance plans, 10 List Medications and Allergies (Detailed), 11 Contact Billing Information, 12 PreOp and Post Op Prescriptions
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.   
       It's our 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. Peraglie and 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. Peraglie and 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. Peraglie 407-922-3424 or Email: DrP@clos.net
Thinking about Getting a Gastric Band?  Stunning New Research Statement from "Canadian Lap Band Group: "... Placement of a gastric band appears to be a disservice ..."
"The placement of a gastric band appears to be a disservice to many morbidly obese patients and therefore, in the current culture of evidence based medicine, the prevalent use of laparoscopic
gastric banding can no longer be justified. "  Dr.'s Guller, Klein and Hagen from the Center for Excellence in Bariatric Surgery, University of Toronto, Department of Surgery, Ontario, Canada.uguller@yahoo.com Furthermore, they state: "There is mounting and convincing evidence that laparoscopic gastric banding is suboptimal at best in the management of morbid obesity. "
"Although short-term morbidity is low and hospital length of stay is short, the rates of long-term complications and band removals are high, and failure to lose weight after laparoscopic gastric banding is prevalent."   The use of laparoscopic gastric banding may seem appealing at first as the rate of early post-operative complications is low and the hospital stay short[8]. However, there have been numerous reports on long-term complications such as band slippage and migration, pouch and esophageal dilation, port-site infection, and failure to lose weight, all of which frequently require the band removal [8-16].
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. Peraglie and 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
Subpages (1): Dr Rutledge in Germany
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