*** NEGATIVE MGB STATEMENT BY ALVARADO CENTER ***

[Guest guest]

Greetings All,

I am considering having the MGB with Dr. Rutledge in NC. I have

spent hours at his site so far and I have been very impressed

with what I have seen and heard.

There is only one Dr. doing the surgery here in Las Vegas, NV his

name is Dr. Barry Fisher. However he is not doing the Lap procedure

RNY on men, why, I have no idea.

I am a self pay and so I can choose who I want to do the surgery. I

have been considering this surgery for over 1 year now.

I was all but sold on the Mini-Gastric Bypass procedure until to my

horror I read the following on the Alvarado Center for Weight Control

in San Diego:

Loop Gastric Bypass ( " Mini Gastric Bypass " )

This form of Gastric Bypass was developed years ago, and has

generally been abandoned by nearly all bariatric surgeons as unsafe

--

several years ago, a consensus of the American Society for Bariatric

Surgery was that the procedure should never be performed.

Although easier to perform than the Roux en-Y, it creates a

severe hazard in the event of any leakage after surgery, and

seriously

increases the risk of ulcer formation, and irritation of the stomach

pouch by bile.

Many persons who underwent this procedure in the past have

required major revisional operations to correct severe discomfort and

life-threatening pathophysiologic effects.

Most bariatric surgeons agree that this operation is obsolete,

and should remain defunct.

This operation has been resurrected, in order to make the

laparoscopic procedure easier to perform, by possibly less skilled

surgeons. As shown, the gastric pouch is excessively large, which

may

lead to loss of weight control over time.

A fundamental principle of laparoscopic surgery is that the

underlying operation should not be compromised or degraded, in order

to accomplish it by using limited access techniques. The loop bypass

does not meet this standard. There is no reliable long-term data to

support use of this anatomic variation.

The above quote is listed at the following link:

http://www.gastricbypass.com/

I would appreciate any comments regarding this statement.

Many thanks,

Elliott Stern

Las Vegas, Nevada

< deslv@... >