Excess Body Weight Loss After Laparoscopic Gastric Plication
Advances in Surgical Sciences
Volume 4, Issue 2, April 2016, Pages: 6-8
Received: Feb. 25, 2016; Accepted: Mar. 5, 2016; Published: Mar. 22, 2016
Views 3478      Downloads 100
Authors
Mohamed Salah Abdelhamid, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Ayman Hamdi Abouleid, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Mohamed Hasan Abdelmola, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Ahmed Mohamed Rashad, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Mahmoud Ahmed Negida, Surgery Department, Kasr Elaini Faculty of Medicine, Cairo University, Cairo, Egypt
Ahmed Zaky Gharib, Surgery Department, October 6th Faculty of Medicine, October 6th University, Giza, Egypt
Article Tools
Follow on us
Abstract
Gastric plication was selected for cases with potential for continuous diet and exercise after operation. The appetite of patients decreased after operation due to total gastric volume restriction. The study aimed at finding if it is worth or not to plicate in relation to excess body weight loss (EBWL). 47 patients were enrolled in the study between May 2014 till Nov 2015 with follow up till Nov 2015 with body mass index (BMI) of 38 -65. Laparoscopic gastric placation (LGP) was done to all using two rows of continuous o prolene thread aided with harmonic scalpel. BMI and EBW were calculated prior to LGP then EBWL was estimated at six months and one year. The following scale was applied regarding EBWL 0- 14 %failure, 15% -39% poor, 40%- 69% medium, 70% or more excellent outcome, while regain of 10% or more marked as regain. We had one (2.1%) deplication, six (12.7%) regained weight, two (4.2%) failures, fourteen (29.7%) poor, sixteen (34%) medium outcome and eight (17%) with excellent outcome regarding EBWL. We concluded that it is very difficult to roll out LGP, we found it is worth to do LGP although only 17% got excellent EBWL and 34% got medium EBWL which was acceptable to those patients which represent more than 50% of our patients. This acceptance was supported by the low cost, safety and the potential reversibility of the procedure.
Keywords
LGP, EBWL, BMI
To cite this article
Mohamed Salah Abdelhamid, Ayman Hamdi Abouleid, Mohamed Hasan Abdelmola, Ahmed Mohamed Rashad, Mahmoud Ahmed Negida, Ahmed Zaky Gharib, Excess Body Weight Loss After Laparoscopic Gastric Plication, Advances in Surgical Sciences. Vol. 4, No. 2, 2016, pp. 6-8. doi: 10.11648/j.ass.20160402.11
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Crea N, Pata G, Di Betta E, Greco F, Casella C, Vilardi A, Mittempergher F. Long-term results of biliopancreatic diversion with or without gastric preservation for morbid obesity. Obes Surg.2011; 21: 139–145. doi: 10.1007/s11695-010-0333-6. [PubMed] [Cross Ref].
[2]
Campbell J, McGarry LA, Shikora SA, Hale BC, Lee JT, Weinstein MC. Cost-effectiveness of laparoscopic gastric banding and bypass for morbid obesity. Am J Manag Care. 2010; 16: e174–e187. [PubMed].
[3]
Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. Journal of laparoendoscopic & advanced surgical techniques Part A. 2007; 17: 793–798. doi: 10.1089/lap.2006.0128. [PubMed] [Cross Ref].
[4]
Scozzari G, Toppino M, Famiglietti F, Bonnet G, Morino M. 10-year follow-up of laparoscopic vertical banded gastroplasty: good results in selected patients. Ann Surg. 2010; 252: 831–839. doi: 10.1097/SLA.0b013e3181fd35b0. [PubMed] [Cross Ref].
[5]
Ramos A, Galvao Neto M, Galvao M, Evangelista LF, Campos JM, Ferraz A. Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure. Obes Surg.2010; 20: 913–918. doi: 10.1007/s11695-010-0132-0. [PubMed] [Cross Ref].
[6]
Pujol Gebelli J, Garcia Ruiz de Gordejuela A, Casajoana Badia A, Secanella Medayo L, Vicens Morton A, Masdevall Noguera C. Laparoscopic Gastric Plication: a new surgery for the treatment of morbid obesity. Cir Esp. 2011; 89(6): 356–361. doi: 10.1016/j.ciresp.2011.02.005. [PubMed] [Cross Ref].
[7]
Brethauer SA, Harris JL, Kroh M, Schauer PR. Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2011; 7: 15–22. doi: 10.1016/j.soard.2010.09.023. [PubMed] [Cross Ref].
[8]
Muller MK, Wenger C, Schiesser M, Clavien PA, Weber M. Quality of life after bariatric surgery--a comparative study of laparoscopic banding vs. bypass. Obes Surg. 2008; 18: 1551–1557. doi: 10.1007/s11695-008-9522-y. [PubMed] [Cross Ref].
[9]
D’Hondt M, Vanneste S, Pottel H, Devriendt D, Van Rooy F, Vansteenkiste F. Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011; 25(8): 2498–2504. doi: 10.1007/s00464-011-1572-x. [PubMed] [Cross Ref].
[10]
Pontiroli AE, Morabito A. Long-term prevention of mortality in morbid obesity through bariatric surgery. a systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg. 2011; 253: 484–487. doi: 10.1097/SLA.0b013e31820d98cb. [PubMed] [Cross Ref].
[11]
Strain GW, Gagner M, Pomp A, Dakin G, Inabnet WB, Hsieh J, Heacock L, Christos P. Comparison of weight loss and body composition changes with four surgical procedures. Surg Obes Relat Dis.2009; 5: 582–587. doi: 10.1016/j.soard.2009.04.001. [PubMed] [Cross Ref].
[12]
Mohammad Talebpour,1 Seyed Mohammad Kalantar Motamedi, 1, 2 Atieh Talebpour, 1 and Hamed Vahidi1, Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes Ann Surg Innov Res. 2012; 6: 7. Published online Aug 22, 2012. doi: 10.1186/1750-1164-6-7 PMCID: PMC3444326.
[13]
Shen D, Ye H, Wang Y, Ji Y, Zhan X, Zhu J, Li W Comparison of short-term outcomes between laparoscopic greater curvature plication and laparoscopic sleeve gastrectomy. Surg Endosc. 2013 Aug; 27(8): 2768-74. doi: 10.1007/s00464-013-2805-y. Epub 2013 Feb 27.
[14]
Yun Ji, M. D. Yuedong Wang, M. D., F. A. C. S. Jinhui Zhu, M. D. Dijian Shen, M. D. A systematic review of gastric plication for the treatment of obesity Published Online: December 16, 2013 DOI: http://dx.doi.org/10.1016/j.soard.2013.12.003.
[15]
Langer FB, Reza Hoda MA, Bohdjalian A, Felberbauer FX, Zacherl J, Wenzl E, Schindler K, Luger A, Ludvik B, Prager G. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg.2005; 15: 1024–1029. doi: 10.1381/0960892054621125. [PubMed] [Cross Ref].
[16]
Owen Haskins Abdelbaki TN, Huang CK, Ramos A, Neto MG, Talebpour M, Saber AA Gastric plication for morbid obesity: a systematic review Obes Surg. 2012 Oct; 22(10): 1633-9. doi: 10.1007/s11695-012-0723-z.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186