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Many people wonder how the MGB got started. So
here is the story of the Mini-Gastric Bypass. As background the MGB uses a loop
connection, what is called the Billroth II
connection between the stomach and intestines which has been around for
over a hundred years now and it was invented by,
well yeah, a guy named Billroth.
Billroth was cutting tumors from the stomach in the late 1800s and early
1900's
He had a very high mortality rate because that was actually prior to surgeon's using
gloves or a mask
for surgery. They had anesthesia
but they wore black vote so they could wipe their hands on their coats at the end of the case.
I mean it was rough times.
so is this
bottom line is the certainty that around forever and
%uh I was a trauma surgeon from nineteen seventy eight through nineteen ninety eight at the
university of north Carolina at chapel hill
I started my residency there
and then was on the staff nineteen eighty five to nineteen ninety eight
and after in nineteen ninety seven I was on call for trauma one night when a local drug
dealer
in Durham, North Carolina
had a disagreement on prices
with one of his customers
and so he got shot in the belly seven times of the three fifty seven magnum
about nine o'clock that night I got 'em up to the operating room we cut away the tale
of the pancreas, the spleen, the bottom of the stomach and some small intestine
and we hope to up by kind of a standard technique we have the bottom of the stomach to the side
of the bomb which is a Billroth
to tech connection and that
should remind you of your many yesterday by
%um
the next morning as schedule a laparosocpic through our guest require past you have surgery
and that patient was a a friend of mine and she didn't understand that a lot of the Rockies
for
also a disease which leads to do all the time in the old days
prior to sign an agreement and that
and I think she ever say why we're doing this complex rule I
we can do easy
Billroth to connection and so she said yes and essence that time
now done over five thousand one hundred and some patients
it may be the most exciting development
for me has been mixed past summer
we're on we had to go to
Paris
for work
but the international meeting of the federation for surgery of obesity in there
a couple of fun things happen
we had about ten or eleven papers published on the many yesterday bypass all of which
confirming are results that is a good surgery
we have three papers in particular there were controlled prospective randomized trials that
said that the MGB was better
than the lap band and better than the roux en Y and better than sleeve instructed me
and then I did a presentation on couple of our of finding some research at the end of
that I finished in about twenty five surgeons from all around the world
from Bulgaria and Germany and England Spain
and Italy
from India
from China
from Hong Kong from Australia from Mexico all came up and said
she we love the MGB and we use it all the time and so it's
from that drug dealer
and his gunshot wounds in nineteen ninety seven them any guess if I can sell spread
around the world
so of the like that