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Mexican College of Surgery for Obesity and Metabolic Diseases Course held on MGB-OAGB

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. 

Furthermore, reviews of many thousands of cases did not disclose development of carcinoma. The superiority of results with the MGB-OAGB over the Roux-en-Y gastric bypass in terms of weight loss and resolution of co-morbidities were shown in a comprehensive comparative study by Salvador Navarette. Long-term benefits of up to six to 12 years with OAGB were recently published and were also presented by Enrique Luque-de-León.

MGB, and especially the OAGB in Mexico, were found to be brief, safe procedures, with durable weight loss, resolution of co-morbidities (especially diabetes), ease of revision or reversal in rare cases, and a sound alternative after other failed bariatric procedures.

The Annual Conference of the MGB-OAGB Club is being held 3-4 July, 2017 in Naples, Italy, under the direction of President Mario Musella. For more information, please click here