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J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
Surendra Ugale, J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-002
E
ven after 60 years of bariatric surgery, we still do not
have any permanent or perfect solutions for long-term
control of obesity. The dilemma still remains, whether
to use the least invasive or non-invasive procedures and
accept lesser gains or use complex procedures giving greater
benefits, along with its accompanying disadvantages. With
the gastric band getting abandoned in many centers (68%
during its peak in 2008 to 10% in 2013), along with gradual
reduction in usage of gastric bypass (52% in 2008 to 32% by
2014), the sleeve as a standalone procedure has garnered
a greater following worldwide (0 to 37% of the world total
from 2003 to 2013). Many studies and clinical practices have
established that in the mid-term, many sleeve patients have
regained weight with recurrence of some comorbidities.
This led to a search for procedures more effective than
the sleeve with much lesser side effects of the duodenal
switch (<1.5 % of all bariatric procedures worldwide). Newer
procedures like sleeve gastrectomy with transit bipartition or
ileal interposition, mini-gastric bypass and gastric plication
are being increasingly used worldwide, especially in South
America and Asia, with fewer centers in Europe and North
America. These have simpler techniques and/or greater
safety and efficacy. Sleeve with bipartition allows ileal
stimulationwith normal duodenal access; mini-gastric bypass
is a technically simpler bypass with fewer complications
but more malabsorption, while plication being modestly
effective has the advantage of reversibility. Individualization
of procedures would make these most effective.
Speaker Biography
Surendra Ugale is the Chief of Bariatric & Metabolic Surgery at Asian Bariatrics
Hospital, India and Visiting Professor of Surgery at KLE University, India. He has been
passionate about laparoscopic surgery since 1991 and helped in spreading it to many
parts of India and abroad. His team is the 2
nd
in the world to start Laparoscopic Ileal
Interposition for Type-2 Diabetes in 2008 and he has introduced a new scoring system,
diabetes severity and remission score. His work is now especially focused on metabolic
surgery for diabetes & obesity and he is a Proctor at national and international centers.
e:
surenugale@gmail.comEvolution of newer procedures for increased safety and efficacy
Surendra Ugale
Asian Bariatrics Hospital, India