MGB/OAGBcon2016 ANNUAL CONFERENCE OF MINI-GASTRIC BYPASS / ONE-ANASTOMOSIS GASTRIC BYPASS (MGB/OAGB) CLUB

Scientific Program: Venue: Sofitel Gatwick, London 19th & 20th of August, 2016

Organizers: Mervyn Deitel, Kuldeepak S. Kular, Robert Rutledge, Mario Musella, Miguel A. Carbajo, Peter Small

(0730 hours Friday, AUGUST 19 – Registration)

08.00 – 08.15am MGB/OAGB: Introduction and Overview – M. Deitel, Toronto, Canada Session 1: MGB/OAGB Technique: Step by Step (Discussion: Pouch design, length & size, dissection at angle of his, pouch axis and rotation, Gastro-J technique, how to avoid G-J rotation) Moderator & Program Time-keeper: Mervyn Deitel, Director MGB/OAGB Club, Canada 8.15am – Ten crucial steps for safe MGB – Om Tantia, Medical Director & Head, Dept. of Min. Access & Bariatric Surgery, ILS Hospitals, India 8.25am – OAGB/BAGUA technique: step-by-step how we do it (video) – Miguel A. Carbajo, Member Of The International Committee for the European Accreditation Council for Bariatric Surgery, 2nd Vice-President MGB/OAGB Club, Spain 8.40am – OAGB: our technique (video) – Pricilla Antozzi, Secretary of SACO (Argentinian Society for Obesity Surgery), Luciano Antozzi, MD; Mario Antozzi, MD. Centro de Cirugías Especiales, Bahia Blanca, Buenos Aires, Argentina Centro de Cirugías Especiales, Bahia Blanca, Buenos Aires, Argentina 8.50am – Cologne Version of the MGB (video) – Karl Rheinwalt, Sebastian Kolec, Andreas Plamper. Dept. of Bariatric and Metabolic Surgery, St. Franziskus Hospital, Cologne, Germany 9.00am – Technique of MGB: How I do it: Tips and Tricks (video) – Nasser Sakran, Secretary of the Israeli Forum of bariatric surgery, Emek Medical Center, Afula & Assia Medical Group, Tel Aviv, Israel 9.10am – 9.40am - Panel and Audience Discussion on Technical fine points of MGB & OAGB – Robert Rutledge, J.M Chevallier, Cesare Peraglie, Ahmed Bravo, Rudolf Weiner, Miguel A. Carbajo

Session 2: Results & Complications of MGB/OAGB (Discussion- Results, complications, handling of leaks, etc.) Moderator: K S Kular, President MGB/OAGB Club, India 9.40am – Complications following the MGB/OAGB: an Italian multi-centre study of 2,602 cases – Mario Musella, Antonio Susa, Emilio Manno, Francesco Greco, Stefano Cristiano, Maurizio De Luca, Marco Milone, Paolo Bianco, Francesco Di Capua, Luigi Piazza, Italy 9.50am – MGB: Multi-centre experience of 522 cases – Mohamed Abouzeid, Ain Shams, Cairo, Egypt; Co-author: Osama Taha, Ass Prof Assuit University, Consultant Bariatric Surgery, Cairo, Egypt 10.00am – MGB: A single experience of 352 patients – Subhi Abu Abeid, Yonatan Lessing, Niv Pencovich, Marian Khatib – Tel-Aviv Sourasky Medical Center (Nikolas Elizabeth Shlezak Fund for Experimental Surgery), Sackler Faculty, Israel 10.10am – MGB: Short-term single-institute experience – Luigi Piazza, Aorn G. Garibaldi, Catania, Italy 10.20am – Results from the Indian MGB Survey – Arun Prasad, New Delhi, India 10.30am – MGB added to Collis-Nissen-like surgery: simple, safe and effective: 15 years outcomes of 1,452 cases by a single surgeon – Leonardo Emilio da Silva, Ruy Jorge Cruz Jr (presenter), Maxley Martins Alves, Tanous Kalil El Ajouz, Paula Christina Pelxoto Ribeiro, Rodrigo Altenfelder Silva, Brazil 10.40am – COFFEE BREAK 11.00am – Results of MGB in an Enhanced Recovery after Bariatric Surgery (ERABS) Protocol – Jan Apers, Stefanie R. van Mil, Martin Dunkelgrün, Hans F. Zengerink, L. Ulas Biter, Netherlands 11.10am – Standardized Post-op Checklist for bariatric surgery: what are the predictors of complications? – Jan Apers, Franciscus Gasthuis, Rotterdam, Netherlands 11.20am – Management of acute leaks after MGB – Mahindra Narwaria, India 11.30am – 12.00pm - Panel and Audience Discussion on Results and Complications, How to handle early/late leak & treatment of Marginal Ulcer – Mario Musella, Ashish Ahuja, J-M Chevallier, David Hargroder, Sanjay Patolia, Sarfaraz Baig

Session 3: Metabolic effects of MGB/OAGB - MGB/OAGB on thin diabetics – a promising metabolic surgery of the future? Moderator: Mario Musella, Naples, Italy 12.00pm - Differences in Glucose Metabolism at Mid-term Follow-up between Roux-en-Y and Mini-Gastric Bypass as Evaluated by Glucose Tolerance Test – Jacques M. Himpens, The European School of Laparoscopic Surgery, St. Pierre University Hospital, Brussels, Belgium

12.15pm - Efficacy of MGB in diabetic patients with BMI <35 kg/m 2 – Tarek Mahdy, UAE 12.25pm - Diabetes remission after OAGB – Juan Francisco Valdez Hashimoto, Mexico, Miguel A. Carbajo, Spain, Jose Maria Jimenez, Spain, Alberto Arango, Colombia. 12.35pm – Role of MGB in thin diabetics; a new program in Serbia; Prof. Dr Miroslav Ilić , Serbia 12.45pm – Billroth II duodenal exclusion and Rx of diabetes by general surgical procedures; Roger Charles Luciani, Lyon, France

12.55pm - 01.30pm LUNCH 1.30 – 1.55pm - Panel and Audience Discussion on Effect of MGB & OAGB on Type II Diabetes Mellitus & its role as metabolic procedure – Jacques Himpens, Tarek Mahdy, Mohamed Abouzeid, M. Narwaria, Roger Charles Luciani, Laurent Layani

Session 4: New ideas/Innovations in MGB/OAGB Moderator: Peter Small, U.K Chairman, MGB/OAGBcon2016 1.55pm – Ileal Food Diversion – Francesco Greco, Clinica Castelli, Bergamo, Italy 2.05pm – MGB in the awake patient: Is it feasible? (video)– Mohamad Hayssam Elfawal, Head Bariatric/Metabolic Unit, Makassed Hospital, Beirut, Lebanon 2.15pm – Single incision / reduced port MGB: technique and tips – Mohit Bhandari, Bariatric, Metabolic and Robotic surgeon, Indore, India 2.25pm – Reduced port approach for MGB without compromising operative time, efficacy and safety – Abhay Agrawal, Seven Hills Hospital, Andheri East, Mumbai, India 2.35pm – Functional one-anastomosis gastric bypass (MGB) after failed sleeve gastrectomy (video) – Francesco Greco, Clinica Castelli, Bergano, Italy 2.45pm – Diverted MGB: the best of two worlds (video) – Rui Ribeiro, Portugal 2.55pm – 3D versus 2D laparoscopic MGB: a prospective randomized comparative study – Giuseppe Curro, G. La Malfa, S. Lazzara, L. Piazza, G. Navarra, University Hospital Messina, Garibaldi Hospital, Catania, Italy 3.05pm – Advantages of Robotic MGB (video) – Arun Prasad, New Delhi, India 3.15pm – 3.45pm TEA BREAK 3.45pm – Laparoscopic band-separated one anastomosis gastric bypass without the use of endoscopic cutters and staplers (video) – Oral Ospanov, Khazakstan 3.55- 4.30pm – Panel and Audience Discussion: Nutrition after MGB and OAGB – Miguel Carbajo, Mahidhar Valeti, Omar Fonseca, Miguel Flores de la Torre, Pricilla Antozzi, Sergio Verboonen

4.30pm – Presidential Address: The first year of the MGB/OAGB Club. Results of MGB/OAGB Consensus Survey. K.S.Kular, India 5.00pm – ANNUAL BUSINESS MEETING (Chair: K.S.Kular)

Saturday, Aug. 20, 7.30 – 8.00am - Registration Session 1: How much to do… what should be the length of bypass in MGB/OAGB? Moderator: Miguel A. Carbajo, Spain 8.00am – Memorial to Prof. Manuel Garcia Caballero, a great pioneer (video) – Miguel A. Carbajo, Spain

8.10am – Ideal Length of the biliary limb after OAGB – a study according to the BMI – J-M Chevallier, T. Voron, W. Godefroy , R. Douard, F. Zinzindohoué, A. Berger – France. 8.20am – Does limb length in MGB matter? – Arun Prasad, India 8.30am – 9.00am – Panel and Audience Discussion: how much length should be bypassed? Is there a limit? Comparison to BPD, How to standardize? Abhay Agarwal, Karl Rheinwalt , Robert Rutledge, K S Kular, G.S.Jammu, Mervyn Deitel

Session 2: Comparison of MGB/OAGB to LSG & RYGB; Which is performing better? Why? Moderator; Karl Rheinwalt, Germany 9.00am – Primary MGB vs Primary RYGB: 5-years experience from one institution – Karl Rheinwalt, TF Ulmer, S Kolec, A Plamper, Germany 9.10am – Results of MGB vs LSG: one-year data – Om Tantia, India 9.20am – A 7-Year Clinical Audit of 1,107 Cases Comparing Sleeve Gastrectomy, Roux-en-Y Gastric Bypass, and Mini-Gastric Bypass, to Determine an Effective and Safe Bariatric and Metabolic Procedure – Gurvinder S. Jammu and Rajni Sharma, Jammu Hospital. Jalandhar, India 9.30am – Comparative analysis between OAGB and other common bariatric procedures registered in the IFSO EAC-BS database – Enrique Luque-de-Leon, Mexico, Jose Maria Jimenez, Miguel A. Carbajo, Spain 9.40am – Initial experience with the OAGB (comparison with the SG and RYGB) – Nicolas Sosa Gallardo, Agustin Talia, Carlos Simon, Mariana Oliva, Miguel Correa, Carlos Sosa Gallardo. Çordoba, Argentina 9.50am – MGB or RYGB in super-obese – Arun Prasad, Apollo Hospital, New Delhi, India

10.00am – Prospective study comparing MGB and RYGB – Rui Ribeiro, President of Portuguese Bariatric & Metabolic Society, Lisbon, Portugal 10.10am – Laparoscopic RYGB, MGB, and MGB added to Collis-Nissen 15 years later – Leonardo Emilio da Silva, Ruy Jorge Cruz Jr, Maxley Martins Alves, Tanous Kalil El Ajouz, Paula Cristina Peixolo Ribeiro, Rodrigo Altenfelder Silva , Brazil

10.20 am – A Single Centre UK Experience Of first 100 Laparoscopic Mini Gastric Bypass (LMGB) matched with Roux-en- Y Gastric bypass (RYGB) ; Chetan Parmar 10.30 am – Internal hernias after MGB Vs RNY; What is the evidence & how do we explain this? ;David Hargroder, USA

10.40 – 11.00am – COFFEE BREAK 11.00am – 11.30am Panel and Audience Discussion; How MGB works, when to reverse or revise the MGB/OAGB? Ashish Vashistha , Chetan Parmar, Enrique Luque-de-Leon, C. Peraglie, Peter Small, Miroslav Ilic

Session 3: MGB/OAGB on the rise; why do & when not to do? Moderator: Robert Rutledge,USA 11.30am – MGB: The learning curve in shifting from LSG to LMGB – Ashish Ahuja, India 11.40am – Why I do the MGB – Om Tantia, India 11.50am – Experience with the first 30 MGBs: the best adapted operation for the left-handed surgeon – Vladimir Samoylov, Aleksandr Gluchov, Evgeniy Chvikalov, Vladimir Nalivayko, Voronezh, Russia 12.00pm – When to do and when not to do an MGB – Ashish Vashistha, India 12.10pm – Nutritional aspects of MGB/OAGB – Sarfaraz Baig, India 12.20pm – OAGB in a patient with unknown intestinal malrotation (video)– Arturo ValdesAlvarez Mexico; J.A.P. Santillan, Miguel A. Carbajo, Spain 12.30pm – OAGB in severely obese children and adolescents – Miguel Flores de la Torre, Mexico 12.40pm – MGB: Is it ready to replace RYGB for morbid obesity? – A meta-analysis from India – Manish Khaitan, India 12.50pm – Bariatric Surgery in the Indian Sub-Continent; 11 years down the line from Band to MGB/OAGB – Mahider Valeti, India

1.00 – 1.30pm LUNCH 1.30pm – 2.00pm – Panel and Audience Discussion; when not to do MGB/OAGB: Cirrhosis, Steroids, Smoking, NSAIDS, Rheumatoid arthritis, etc. Manish Khaitan, Rajesh Kanungo, Sarfaraz Baig, David Hargroder, Ajaiya Kumar, Om Tantia Session 4: Cancer & Bile reflux – fear & the science! Moderator: Enrique Luque-de-Leon 2.00pm – CA does not follow MGB/OAGB – Mervyn Deitel, Canada 2.10pm – Bile Reflux Scintigraphy after MGB: a Case Series – Tuure Saarinen 1 , Jari Räsänen1, Jarmo Salo1, Antti Loimaala2, Miia Pitkonen2, Marja Leivonen3, Anne Juuti1 – 1University of Helsinki, Helsinki University Hospital, Dept of Surgery, 2University of Helsinki, Medical Imaging Center, Dept of Nuclear Medicine, 2Helsinki University Hospital, 3Central Hospital of Seinajoki, Dept of Surgery, Seinajoki Finland 2.20pm – Gastro-esophageal reflux disease in patients with OAGB, gastric sleeve and postprandial distress: comparative clinical study – preliminary report – Omar Fonseca G, Ricardo Flores – Co-authors: Jose A. Olivares, Ruben Iniguez, Miguel A. Carbajo – Mexico and Spain 2.30pm – Bile reflux & Cancer after MGB; K S Kular, India 2.40 pm – 3.10 pm Panel and Audience Discussion – Cancer, Bile reflux & MGB – What is the evidence? R. Rutledge, Mervyn Deitel, Laurent Layani,Sandeep Agarwal, Rui Ribeiro, Sukhvinder S Saggu 3.10 – 3.30 pm – TEA BREAK Session 5: Revision/Sleeve to MGB: Will this be the most common revision surgery in the future? Moderator: Rudolf Weiner 3.30 pm – OAGB: an excellent alternative as a revisional operation after failed bariatric procedures – Enrique Luque de Leon, Mexico 3.40 pm – A Large experience of Lap Bands to MGB – Laurent Layani, UAE 3.50 pm – Revision of Sleeve G astrectomy to OAGB – Sergio Verboonen, Mexico 4.00 pm – MGB performed for failure of Sleeve G astrectomy – Gurvinder S. Jammu, Jammu Hospital, Jalandhar, India 4.10 pm – Laparoscopic conversion of failed Sleeve Gastrectomy to MGB: challenges and technical feasibility – Nasser Sakran, Secretary of the Israeli Forum of Bariatric Surgery, Emek Medical Center, Afula & Assia Medical Group, Tel Aviv, Israel 4.20 pm – Sleeve revision: 1-year results comparing SADI to MGB – Arun Prasad, India

4.30 pm – Revision of failed bariatric surgery to MGB; a Frankfurt experience by Rudolf W einer

4.40 pm – 5.00 pm – Panel and Audience Discussion: Sleeve to MGB – the most common revision surgery of the future? How is it different from primary MGB? Marc Focquet, Kesava Reddy Mannur, Nidhi Khandelwal,Dig Vijay S Bedi, Yesser Hamza , Mohit Bhandari 5.00 pm– DISCUSSION OF FUTURE PROGRAMS – Deitel, Kular, Musella, Carbajo and Audience