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Announcement: Dr. Rutledge will be traveling to Europe and India over

> the Next 6-12 months

>

> International Adoption of the Mini-Gastric Bypass; Can America Be Far

> Behind?

>

> " Success of good idea requires nothing more than the commitment of

> ordinary individuals who have the strength to persevere and endure. "

>

> Since the first Mini-Gastric Bypass (MGB) was performed by Dr.

> Rutledge in 1997, surgeons and supporters of the MGB have been

> committed to improving the health and well-being of people struggling

> to free themselves from obesity and obesity associated illnesses.

> Supporters of the MGB believe that the present forms of Weight loss

> surgery fall far short of ideal and that the MGB offers a much better

> alternative.

>

> Although initially viewed with skepticism, the MGB is now gaining

> recognition around the world as other surgeons join Dr. Rutledge in

> demonstrating the benefits of the MGB. Controlled prospective trials

> (Level I Evidence) have repeatedly shown the MGB to equal or

> outperform other types of surgery for obesity. Following the

> leadership of several prominent surgeons, in France today, it is

> estimated by representatives of Ethicon Endo-surgery in France, that

> 20% of weight loss surgery is performed by using the MGB techniques

> developed by Dr. Rutledge.

>

> Controlled prospective trials from around the world show that the MGB

> provides some of the best weight loss, best resolution of diabetes and

> lowest risk of revision surgery. The MGB is being replaced by adoption

> of the MGB in Germany, Belgium, Austria, France, Spain, Italy, around

> the Middle East, India, Taiwan, Mexico and South and Central America.

> At the same time, data is building showing that operations like the

> band and the RNY are less effective with significant risks and higher

> failure rates.

>

> A recent systematic review and network meta-analysis of randomized

> trials of bariatric surgery concluded that the Mini-gastric bypass

> resulted in weight loss as effectively as the more dangerous

> Biliopancreatic Diversion and was more effective than the band or the

> RNY. (Bariatric surgery: a systematic review and network meta-analysis

> of randomized trials.)

>

> The MGB is now being adopted around the world and international

> surgeons have contacted Dr. Rutledge requesting help and guidance in

> adopting the techniques developed by Dr. Rutledge.

>

> Dr. Rutledge recently returned from a meeting of expert bariatric

> surgeons in Europe where he was able to observe and work with surgeons

> offering the MGB throughout Europe. He worked with some of the best

> surgeons in Europe, including the Presidents of the IFSO (the

> International Federation of Surgery of Obesity, Dr. in Austria)

> and Dr. Chevalier, the President of the Société Française et

> Francophone de Chirurgie de L'obésité (SOFFCO - French and

> French-speaking Society of Obesity Surgery), and has been asked to

> Share the knowledge and skills he has gained over the 14 years he has

> been performing the Mini-Gastric Bypass.

>

> As the acceptance and adoption of the Mini-Gastric Bypass around the

> world spreads, that same adoption of the surgery will likely occur in

> The United States. Widespread acceptance and adoption of the MGB has

> been held back in America through misunderstanding and a confused

> reading of the medical literature which has demonstrated the long term

> benefits and excellence of the MGB.

>

> Dr. Rutledge believes that aiding and supporting the adoption of the

> MGB in other countries will aide the adoption of the MGB in America.

>

> The persistent problems with the RNY form of gastric bypass (high

> Failure rates, difficulty to perform, danger and ineffectiveness of

> Revision) and the failure rate of restrictive surgeries and the new

> Sleeve gastrectomy suggest that the need for an alternative is

> becoming clear while at the same time the value of the Mini-Gastric

> Bypass is being recognized.

>

> Dr. Rutledge and other surgeons who have seen the value of the MGB

> believe that American patients should have access to what may well be

> the best alternative in bariatric surgery. They believe that the MGB

> should be widely available (I.e. Covered by insurance and

> Medicare/Medicaid) and not just to those individuals who can afford

> It.

>

> Due to the growing interest in the MGB, Dr. Rutledge has been invited

> to visit and advise new and developing programs in other countries.

> Dr. Rutledge's past experience with the MGB can help new surgeons

> avoid some of the pitfalls and problems that might harm patients of

> New MGB programs. These contacts may also help lead to a worldwide

> society of friendship and cooperation among surgeons and patients that

> will advance the adoption of the MGB in the USA.

>

> Over 14 years ago, Dr. Rutledge left his surgical professorship to

> begin performing the MGB. To date, more than 6,000 people have

> benefited from his skill and from the development of the MGB as an

> alternative to existing operations. As a result, thousands of patients

> have had resolution of their diabetes, massive amounts of weight have

> been lost, and the MGB has been shown to be durable and effective over

> time.

>

> International travel and consulting will take Dr. Rutledge to Europe,

> India and other countries. Unfortunately such an international travel

> schedule to far flung destinations such as

> India will cause a significant impact on Dr. Rutledge's personal

> surgical practice. The travel he will be doing over the next six to

> twelve months will make it impossible for him to provide direct local

> hands on care for new surgical patients during this period of

> international travel and consulting.

>

> In order to extend the reach of the MGB to other countries around the

> world and to assist new and developing programs as they begin to offer

> the MGB, Dr. Rutledge is committed to help, advise and give the

> support needed to avoid unnecessary complications that can happen with

> a new program. Unfortunately this will require Dr. Rutledge to travel

> long distances. This prolonged period out of the country will not

> allow Dr. Rutledge to provide high quality acute care to local

> patients. Again Dr. Rutledge believes this is necessary to assist new

> programs and surgeons. It Is his position that the use of the MGB on

> an international level will ultimately help to bring the MGB back home

> to America and further his ultimate goal of further acceptance here at

> home.

>

> In order to devote the next six to twelve months to world-wide travel

> Dr. Rutledge strongly recommends that patients interested in having

> the Mini-Gastric Bypass place themselves in the care of his associate,

> Dr. Cesare Peraglie.

>

> Dr. Peraglie was trained by Dr. Rutledge and for the last 7 years he

> has been providing superlative care of CLOS MGB patients using the

> techniques developed by Dr. Rutledge.

>

> According to Dr. Rutledge, Dr. Peraglie's results and patient

> satisfaction are nothing short of outstanding. It is for this reason

> that Dr. Rutledge believes that the best interests of patients

> seeking the Mini-Gastric Bypass is best served by recommending they

> contact the CLOS site near Orlando Florida.

>

> According to Dr Rutledge: " I would like to highly recommend Dr.

> Peraglie, with whom I have been associated for the past seven years.

> Dr. Peraglie is a truly superb clinician who has always delivered

> excellent medical care. He is the most sensitive, caring, and

> knowledgeable professional I have had the honor to work

> with.

>

> For further information about the Mini-Gastric Bypass or the CLOS Florida

> Center, please contact Dr. Cesare Peraglie by email at drp@... or

> by his personal cell at 407-922 3424. Additional information may be

> obtained by contacting Flo Ballengee, CLOS Florida Staff member at

> flo@... or by calling her at 863-899-3463. Patients may also

> email the Las Vegas CLOS Trish at trish@....

>

> Dr. Rutledge will be in and out of the US over the coming year. And

> while this international travel schedule will block his local

> operative schedule he will be in the US and available by email and

> telephone as he travels around the world. For the times when Dr.

> Rutledge IS in the us he can still provide some small forms of

> education and patient counselling. We are in the process of setting

> up these new online systems and will be announcing more soon.

>

> In addition some US citizens have been blocked from obtaining an MGB

> in the US because of the high cost of healthcare. Dr. Rutledge will

> be actively investigating the costs and availability of high quality

> surgery in other countries. It may well be possible to obtain a less

> expense MGB in another country.. So stay tuned...

>

> --

> Dr. Rutledge, Email: DrR@..., 702-714-0011, www.CLOS.net

>

> http://www.facebook.com/DrRutledge

> http://twitter.com/DrRR

> http://www.youtube.com/user/DrRRutledge

> Over 1,000 videos, Videos Viewed over 1,800,000 times!

>

> For more information, Consider joining one of our online Groups:

> http://minigastricbypassrus.ning.com/

> Mini-Gastric-Bypass/

> http://groups.google.com/group/mgbers

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