Laparoscopic Greater Curvature Plication (LGCP) for Treatment of Morbid Obesity in a Series of 244 Patients

Background Laparoscopic greater curvature plication (LGCP) is a new metabolic/bariatric surgical procedure that requires no resection, bypass, or implantable device. We report LGCP outcomes in 244 morbidly obese patients. Methods Between 2010 and 2011, patients underwent LGCP. Body mass index (BMI,...

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Bibliographic Details
Published in:Obesity surgery 2012-08, Vol.22 (8), p.1298-1307
Main Authors: Fried, M., Dolezalova, K., Buchwald, J. N., McGlennon, T. W., Sramkova, P., Ribaric, G.
Format: Article
Language:English
Subjects:
Analysis of Variance
Body Mass Index
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - physiopathology
Female
Follow-Up Studies
Gastrointestinal surgery
Gastroplasty - adverse effects
Gastroplasty - methods
Humans
Laparoscopy
Logistic Models
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - blood
Obesity, Morbid - complications
Obesity, Morbid - physiopathology
Obesity, Morbid - surgery
Other
Prospective Studies
Surgery
Surgical outcomes
Surgical techniques
Treatment Outcome
Weight Loss
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Summary:Background Laparoscopic greater curvature plication (LGCP) is a new metabolic/bariatric surgical procedure that requires no resection, bypass, or implantable device. We report LGCP outcomes in 244 morbidly obese patients. Methods Between 2010 and 2011, patients underwent LGCP. Body mass index (BMI, kilogram per square meter) evolution, excess BMI loss (%EBMIL), excess weight loss (%EWL), complications, and type 2 diabetes mellitus (T2DM) changes were recorded. Repeated-measures analysis of variance (ANOVA) was used to assess weight change at 6, 12, and 18 months. Subgroup analyses were conducted to provide benchmark outcomes at 6 months. Logistic regression was used to identify characteristics predictive of suboptimal weight loss. Results Mean baseline BMI (±SD) was 41.4  ±  5.5 (80.7 % women, mean age 46.1  ±  11.0 years, 68 [27.9 %] patients had T2DM). Mean operative time was 70.6 min; mean hospitalization, 36 h (24–72). Sixty-eight patients (27.9 %) experienced postoperative nausea and/or vomiting that was controlled within 36 h. There was no mortality. Major complication rate was 1.2 % ( n  = 3). Repeated-measures ANOVA indicated significant weight loss across time points ( p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-012-0684-2