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12:26 15/01/17 | Owen Haskins | Editor in chief, Bariatric News

Morbid obesity is a significant problem in México and is being countered by the growing field of bariatric surgery. The annual meeting of the Mexican College of Surgery for Obesity and Metabolic Diseases (Colegio Mexicano de Cirugía para la Obesidad y Enfermedades Metabólicas, CMCOEM) with 177 attendees was a Course on the Mini-Gastric Bypass – One-Anastomosis Gastric Bypass (Figures 1 and 2) held in Tijuana 1-2 December 2016 at Hospital Angeles, followed by a day of live surgery by Dr Robert Rutledge in Mexicali 3 December 2016. 

This report was written by Enrique Luque-de-León and Mervyn Deitel 

(Left to right) Drs Deitel, Rutledge and Luque-de-León

The Course was superbly organized by Sergio Verboonen of Tijuana and Juan F Arellano-Ramos, the President of the CMCOEM.  Lectures and demonstrations were given by Robert Rutledge of USA, Mervyn Deitel of Canada, Miguel Carbajo of Spain by Skype (one-anastomosis gastric bypass), and visiting expert Salvador Navarrete of Venezuela.  Presenters included Juan Antonio Lopez-Corvala (Representative to IFSO from the Latin-American Chapter), Enrique Luque-de-León (Founder and Executive of the MGB-OAGB Club), Fernando Ceron (a Founder of the MGB-OAGB Club), Nelson Rodriguez (the upcoming President of the CMCOEM), Mervyn Deitel (Director of the MGB-OAGB Club), and many expert Mexican bariatric surgeons.

(Left to right) Drs Verboonen, Rutledge, Pacheco and Navarette

The MGB and its variant, the OAGB, are becoming main operations in México (especially the OAGB or BAGUA – Bypass Gástrico de una Anastomosis by many surgeons trained in Spain).

Presentations started with a brief history of the operations. Step-by-step technical descriptions as well as tips and tricks followed, and were carefully explained by the experts. Pre-operative preparation and post-operative nutrition and complications were demonstrated and found to be less than with other bariatric procedures. Reflux had been assumed to be a problem, but this has not been borne out. 

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12:44 12/12/16 | Owen Haskins | Editor in chief, Bariatric News

Just in case you missed any news in November 2016, these were the 10 most read articles on bariatricnews.net including the latest research, product & industry news, policy news and more...

Patients who attend follow-up have better outcomes

Bariatric patients who stick to a schedule of three-, six- and 12-month follow-up visits with their doctors see greater improvements or remission of their diabetes, high blood pressure and high cholesterol than patients who skip their visits, according to research presented at ObesityWeek 2016. The paper, “The effect of close postoperative follow-up on comorbidity improvement after bariatric surgery,” was presented by researchers from the Brody School of Medicine at East Carolina University in Greenville, NC…(more)

Surgery improves fertility in obese women of reproductive age

Bariatric surgery improves factors that underlie fertility and pregnancy outcomes, according to the findings from a study by researchers from the Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK. The paper published in the journal Obesity Surgery, also called for a prospective study to demonstrate that these factors effect translates into a positive effect on pregnancy outcomes…(more)

Preventing weight regain and the banded bypass

Although the Roux-en Y gastric laparoscopic bypass is associated with long-term weight loss, some patients will regain weight due to an enlarged pouch and/or stoma . In an interview with Bariatric News, Dr Jan Willem Greve from the Zuyderland Medical Center Heerlen and Dutch Obesity Clinic South, The Netherlands, discusses the reasons why patients experience weight regain, the advantages of a banded bypass and the benefits of using the MiniMizer Ring (Bariatric Solutions)…(more)

How gut microbes contribute to post-dieting weight regain

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06:38 08/11/16 | Owen Haskins | Editor in chief, Bariatric News

Just in case you missed any news in October 2016, these were the 10 most read articles on bariatricnews.net including the latest research, product & industry news, policy news and more...

Ethicon launches Harmonic HD 1000i shears complex surgery

Ethicon has launched their new, high precision ultrasonic device, Harmonic HD 1000i Shears, designed to address unique challenges in complex surgical procedures in the US. According to the company, the new device features unmatched precision, unparalleled strength and optimal efficiency and builds upon the ‘most advanced’ ultrasonic portfolio on the market...(more)

Anastomosis size contributes to bleeding and stenosis rates

A study comparing the incidence of early complications related with the handsewn gastrojejunal anastomosis in gastric bypass using Fouchet catheter with different diameters, has reported that a diameter of the anastomosis of 15 mm was related with lower incidence of stenosis. However, the study also found that these patients had major bleeding postoperatively and lower surgical site infection, with no incidences of anastomotic leaks...(more)

LRYGB superior to LSG for mid-term weight loss

Researchers from West China Hospital, Sichuan University, Chengdu, China, have reported that whilst both Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) were safe and effective bariatric procedures in a their group of Chinese patients, LRYGB seemed to be superior to LSG in terms of mid-term weight loss. The paper, ‘Laparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass for morbid obesity: a 1:1 matched cohort study in a Chinese population’, was published in the journal Oncotarget...(more

MIDSLEEVE™ gastric tube - improving calibration

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11:15 13/10/16 | Owen Haskins | Editor in chief, Bariatric News

Just in case you missed any news in September2016, these were the 10 most read articles on bariatricnews.net including the latest research, product & industry news, policy news and more...

ASMBS launches Essentials app for bariatric surgery
After two years of collaboration, the Essentials of Bariatric & Metabolic Surgery Taskforce of the ASMBS has launched the Essentials app. It includes everything any and every health provider needs to know when caring for patients from the beginning stages of considering weight loss surgery to the recovery process. It also serves as a review for the bariatric surgeon and certified bariatric nurse. The app is an educational programme for all professions caring for the bariatric surgery patient before, during, and after surgery; including general surgeons, anaesthesiologists, nurses, emergency physicians and primary care physicians...(more)

Weight loss after bariatric surgery sustained long-term
Obese patients who underwent Roux-en-Y gastric bypass (RYGB) lost much more weight than those who did not and were able to sustain most of this weight loss ten years after surgery, according to a study published by JAMA Surgery. Although previous research has demonstrated that bariatric surgery is the most effective intervention for inducing weight loss among obese patients, much of this evidence is based on relatively short one- to three-year follow-up from randomised clinical trials...(more)

Delivering consistent outcomes in sleeve gastrectomy
Laparoscopic sleeve gastrectomy (LSG) is a safe and effective procedure even in high risk patients - and surgeons have excellent tools now to help perform the surgery safely and consistently. However, the procedure should not be considered an easy operation to perform, according to Mr Ahmed R Ahmed, Consultant Surgeon, St Mary’s Hospital, Imperial College NHS Trust, UK...(more)

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