Outcomes of Laparoscopic Gastric Greater Curvature Plication in Morbidly Obese Patients

Background. Laparoscopic gastric greater curvature plication (LGGCP) is a restrictive bariatric procedure without gastrectomy. However, limited literature on effectiveness of gastric plication exists. Objectives. We assessed LGGCP’s efficacy, effects on associated comorbidities, safety and the rate...

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Bibliographic Details
Published in:Journal of Obesity 2017-01, Vol.2017 (2017), p.252-257
Main Authors: Sargsyan, D., Al Kuwari, M., El Ansari, W., Al Dhaheri, M., Khidir, N., Bashah, M.
Format: Article
Language:English
Subjects:
Analysis
Bariatric Surgery
Care and treatment
Comorbidity
Disease prevention
Female
Gastroesophageal reflux
Gastrointestinal surgery
Health aspects
Humans
Hypertension
Individ och samhälle VIDSOC
Individual and Society VIDSOC
Laparoscopy
Length of Stay
Male
Medical Records
Metabolism
Middle Aged
Nephrology
Nutrition research
Obesity
Obesity, Morbid - surgery
Outcome Assessment (Health Care)
Overweight persons
Patient satisfaction
Postoperative Complications
Public health
Qatar
Retrospective Studies
Stomach
Surgery
Treatment Outcome
Weight control
Weight Loss
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Summary:Background. Laparoscopic gastric greater curvature plication (LGGCP) is a restrictive bariatric procedure without gastrectomy. However, limited literature on effectiveness of gastric plication exists. Objectives. We assessed LGGCP’s efficacy, effects on associated comorbidities, safety and the rate of complications, and patient satisfaction with LGGCP’s outcomes among morbidly obese patients. Method. Analysis of retrospectively data collected from medical records of 26 patients who had undergone LGGCP at Hamad General Hospital, Qatar, during 2011-2012. Results. Most patients (92%) were Qatari nationals. The sample’s mean age was 35.1 years. Mean duration of hospital stay was 3.9±1.2 days. Mean preoperative BMI was 40.7 kg/m2 that decreased at 2 years to 34.6 kg/m2. LGGCP’s effects on comorbidities were such that 7.6% of patients experienced resolutions of their comorbidities. There were no mortality or postoperative complications that required reoperation. Six patients (23%) were satisfied with the LGGCP’s outcomes while 10 patients (38.5%) underwent sleeve gastrectomy subsequently. Conclusion. LGGCP had acceptable short term weight loss results, exhibited almost no postoperative complications, and improved patients’ comorbidities. Despite the durability of the gastric fold, some patients regained weight. Future research may assess the possibility of an increase in the gastric pouch size postplication associated with weight regain.
ISSN:2090-0708
2090-0716
2090-0716
DOI:10.1155/2017/7989714