Long-term results of laparoscopic gastric plication in obese patients (three-year follow-up)
Keywords:gastric plication, bariatric surgery, obesity, metabolic syndrome
Background. The problem of overweight, obesity and diseases caused by them presents a new danger to humanity in the 21st century. According to World Health Organization data, since 1975, the average human weight is increased by 1.5 kg every 10 years. By 2016, the number of people with morbid obesity tripled compared to 1975. The main danger of obesity is the illness that it provokes. To study and analyze long-term results of laparoscopic gastric plication in obese patients for three years was the purpose of our work. Materials and methods. From November 2010 to March 2015, we performed 29 laparoscopic gastric plications in obese patients who were under 3 years of follow-up. The average preoperative weight was 131.0 ± 5.2 kg, body mass index — 45.5 ± 1.6 kg/m2, and the average excess weight was 65.8 ± 4.9 kg. Results. Duration of operation was from 90 to 140 minutes, with average of 114.0 ± 2.7 minutes. Average body mass index was 36.80 ± 1.05 % after 6 months, 33.90 ± 0.82 % after 1 year, and 32.80 ± 0.72 % after 3 years of follow-up. The percentage of average excess weight loss was 41.1 ± 0.3 % after 6 months, 54.3 ± 0.6 % after 1 year, and 58.0 ± 0.9 % after 3 years of follow-up. Conclusions. Comparing our data with literary sources, it can be argued that average excess weight loss one year after gastric plication is 55 %. This is more than in gastric banding, but less than in sleeve gastrectomy or gastric bypass. However, due to the absence of serious complications during gastric plication, it can be recommended for use. The absence of complications in patients after gastric plication associated with traumatic stomach serves as a powerful argument in favor of this operation. Our results and data from literary sources indicate the high efficiency of this surgical method and its safety in morbid obesity patients. In the future, only the accumulation of information about the results of gastric plication will determine its role and place among restrictive operations. It can be used as an independent operation, or as one of the stages of further combined surgical methods.
Angrisani L. Bariatric Surgery Worldwide 2013 / L. Angrisani, A. Santonicola, P. Iovino, G. Formisano, H. Buchwald, N. Scopinaro // Obesity Surgery. — 2015. — № 25. — P. 1822-1832.
Atlas H. Is There a Future for Laparoscopic Gastric Greater Curvature Plication (LGGCP)? A Review of 44 Patients / H. Atlas, T. Yazbek, P. Garneau, N. Safa, R. Denis // Obes. Surg. — 2013. — № 9. — P. 1397-1403.
Buchwald H. Introduction and current status of bariatric procedures / H. Buchwald // Surg. Obes. Relat. Dis. — 2008. — № 4. — P. 1-6.
Cawley J. The medical care costs of obesity: an instrumental variables approach / J. Cawley, C. Meyerhoefer // J. Health Econ. — 2012. — № 31(1). — P. 219-230.
DeMaria E. Bariatric surgery for morbid obesity / E. DeMaria // N. Engl. J. Med. — 2007. — № 356(21). — P. 2176-83.
Ewart W. A case of dilatation of the stomach treated by an operation believed to be new / W. Ewart, W. Bennett // Lancet. — 1896. — № 148. — P. 3801.
Finer N. Medical consequences of obesity / N. Finer // Medicine. — 2015. — № 43. — P. 88-93.
Fried M. Laparoscopic Greater Curvature Plication (LGCP) for Treatment of Morbid Obesity in a Series of 244 Patients / M. Fried, K. Dolezalova // Obes. Surg. — 2012. — № 8. — P. 1298-1307.
Kelly T. Global burden of obesity in 2005 and projections to 2030 / T. Kelly, W. Yang, C. Chen, K. Reynolds, J. He // Int. J. Obes. — 2008. — № 32. — P. 431-1437.
Kirk R. An experimental trial of gastric plication as a means of weight reduction in the rat / R. Kirk // Br. J. Surg. — 1969. — № 56. — P. 930-9333.
Ramos A. Laparoscopic Greater Curvature Plication: Initial Results of an Alternative Restrictive Bariatric Procedure / A. Ramos, N. Galvao, M. Galvao, L. Evangelista, J. Campos, A. Ferraz // Obes. Surg. — 2010. — № 7. — P. 913-918.
Renehan A. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies / A. Renehan, M. Tyson, M. Egger, R. Heller, M. Zwahlen // Lancet. — 2008. — № 371. — P. 569-578.
Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial — a prospective controlled intervention study of bariatric surgery / L. Sjöström // Intern. Med. — 2013. — № 273. — P. 219-234.
Talebpour M. Laparoscopic Total Gastric Vertical Plication in Morbid Obesity / M. Talebpour, B. Amoli // J. Laparoendosc. Adv. Surg. Tech. — 2007. — № 6. — P. 793-798.
Talebpour M. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes / M. Talebpour, S. Motamedi, A. Talebpour, H. Vahid // Ann. Surg. Innov. Res. — 2012. — № 6. — P. 7-23.
Tretbar L. Weight reduction. Gastric plication for morbid obesity / L. Tretbar, T. Taylor, E. Sifers // J. Kans. Med. Soc. — 1976. — № 11. — P. 488-490.
Yanovski S. Obesity / S. Yanovski, J. Yanovski // N. Engl. J. Med. — 2002. — № 346. — P. 591-602.
ASMBS Clinical Issues Committee. Updated position statement on sleeve gastrectomy as a bariatric procedure // Surg. Obes. Relat. Dis. — 2012. — № 8. — P. 21-26.
Copyright (c) 2018 UKRAINIAN JOURNAL OF SURGERY
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our edition uses the copyright terms of Creative Commons for open access journals.
Authors, who are published in this journal, agree with the following terms:
- The authors retain rights for authorship of their article and grant to the edition the right of first publication of the article on a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published article, with the obligatory reference to the authors of original works and original publication in this journal.
- Directing the article for the publication to the editorial board (publisher), the author agrees with transmitting of rights for the protection and using the article, including parts of the article, which are protected by the copyrights, such as the author’s photo, pictures, charts, tables, etc., including the reproduction in the media and the Internet; for distributing; for the translation of the manuscript in all languages; for export and import of the publications copies of the writers’ article to spread, bringing to the general information.
- The rights mentioned above authors transfer to the edition (publisher) for the unlimited period of validity and on the territory of all countries of the world.
- The authors guarantee that they have exclusive rights for using of the article, which they have sent to the edition (publisher). The edition (the publisher) is not responsible for the violation of given guarantees by the authors to the third parties.
- The authors have the right to conclude separate supplement agreements that relate to non-exclusive distribution of their article in the form in which it had been published in the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
- The policy of the journal permits and encourages the publication of the article in the Internet (in institutional repository or on a personal website) by the authors, because it contributes to productive scientific discussion and a positive effect on efficiency and dynamics of the citation of the article.
- The rights to the article are deemed transferred by the authors to the edition (the publisher) since the moment of the publication of the article in the printed or electronic version of journal.