Early Outcomes of Laparoscopic Greater Curvature Plication for Morbid Obesity: Early Experience in Benha University
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- Category: Vol. 84, September 2016
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Early Outcomes of Laparoscopic Greater Curvature Plication for Morbid Obesity: Early Experience in Benha University, HISHAM AHMED, EL-SAYED A. ABD EL-MABOOD, REFAAT S. SALAMA, BADAWY A. ABDUL AZIZ and AMER M. ABD EL-HAMID
Abstract
Background: Laparoscopic Greater Curvature Plication (LGCP) is an operation that is gaining ground in treatment of morbid obesity, as it appears to replicate results of laparoscopic sleeve gastrectomy with fewer complications. Objective of this study was to evaluate early outcomes of LGCP.
Patients and Methods: Retrospective study was conducted to nineteen patients with morbid obesity from Benha University Hospital from September 2015 till February 2016; 16 females and 3 males; mean BMI was 44.9314.2kg/m2; mean age and weight were 31910.9 years and 129.4t7.6kg respectively; Patients undergone endocrine assessment, abdominal ultrasound and gastroscopy; all patients underwent LOP (two rows of sutures using a calibration probe (boogie) of 36 or 38Fr). Measured parameters included weight loss (kg), percentage of excess weight loss (%EWL), operative time, length of hospitalization, lipid profile and complications. Postoperative follow-up data was for б months.
Results: There was no need for conversions; there were no deaths; mean operative time was 89.4s5.бmiп and hospital stay was 4.112.9 days; weight loss was 23.112.6 and 40.113.2 and mean %EWL was 28.7f2.3 and 51.113.8 at 3 and б months respectively with p-value <0.001; postoperative complications were observed in 5 cases; most of them were treated by conservative measures.
Conclusion: Laparoscopic greater curvature plication is as effective to a great extent as other restrictive methods to lose weight; p-value <0.001. Its advantages include: Easy follow-up, no foreign body, much less cost, low complications and low reoperation.