• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Simple, Safe and Effective. The MGB Added to Nissen Surgery (MGBN): 15-Year Outcomes of 1452 Cases From a Single Surgeon.

Leonardo E Silva, MD, PhD, FACS1, Ruy Jorge C Junior, MD, PhD, FACS2, Paula Cristina P Ribeiro, RD, LDN1, Maxley M Alves, MD1, Tanous K El Ajouz, MD1, Rodrigo A Silva, MD, Prof3. 1ICAD Goiania, 2Department of Surgery – University of Pittsburgh, PA, USA, 3Department of Surgery – Santa Casa School of Medicine – Sao Paulo, Brazil

The aim of this study was to assess retrospectively the incidence of reflux and endoscopic changes in MGBN post-operative time after 5 years post-op; from 5 to 10 years post-op; from 10 to 15 years post-op.

Method: The inclusion pre-operative criteria for MGBN was: (1) erosive reflux disease; and/or (2) significant sliding hiatal hernia (>3cm); and/or (3) hipotonia of lower esophageal sphincter (LES).

The data of morbidly obese patients who underwent to MGBN by the same team in two different Hospitals from 1999 to 2016 were retrospectively collected. During this period 2135 patients were submitted to MGBN. We called all 2135 patients by means of email; mobile phone and social networks. However only 1452 patients (68%) answered the call. We divided these 1452 patients in three groups. Group 1: Patients submitted to MGBN until 5 years postoperative time; Group 2 from 5 to 10 years postoperative time and Group 3 from 10 to 15 years postoperative time. We evaluated mortality; morbidity; GERD symptoms; upper endoscopy findings; histological findings after endoscopic biopsies; weight loss and T2DM resolution.

Results: Mean age was 42. BMI was 44±4.5. No conversion to open surgery. 30day mortality was 0. Overall mortality was 0,2%. Perioperative morbidity was 0,8%. The mean operative time was 92±4 minutes. No leak was observed. %EWL was 88±4,4% at 5 years; 81+ 2,1% and 79±1,2% at 15years. Barret’s was 0,8%. No cancer or dysplasia were found. Non-erosive reflux disease was 12% and erosive reflux disease was 5%.

Incident T2DM (46,8%) was cured in 81,2% (blood glucose < 6mmol/l and HbA1c<5.5) with a mean of 6% relapse rate after 15 years with no new case.

There are some limitations in this study. First no functional evaluation of gastroesophageal reflux by 24-h pH monitoring and/or changes of the lower esophageal sphincter pressure were assessed pre and/or postoperatively. Secondly, clinical response was determined by the use of PPIs after LSCNG, and no other prospectively clinical evaluation/scale was used.

Conclusion: This long-term study demonstrated that MGBN is a safe, simple and effective procedure to treat severe obese patients.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80577

Program Number: P539

Presentation Session: Poster (Non CME)

Presentation Type: Poster

28

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2017 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons