Anzeige
Erschienen in:
01.09.2013 | Original Contributions
Is There a Future for Laparoscopic Gastric Greater Curvature Plication (LGGCP)? A Review of 44 Patients
Erschienen in: Obesity Surgery | Ausgabe 9/2013
Einloggen, um Zugang zu erhaltenAbstract
Background
Laparoscopic gastric greater curvature plication (LGGCP) is a new restrictive weight loss procedure.
Methods
Between February 2011 and June 2012, 57 patients underwent LGGCP. Thirteen had it associated with a lap band and were excluded from the study. Data was collected through routine follow-up. Demographics, complications, and percentage of excess weight loss (% EWL) were determined.
Results
Forty-four patients underwent LGGCP, 40 women and 4 men with a mean age of 40 years (range, 18–72), a mean body mass index of 38 kg/m2 (range, 35–46). Comorbidities included 2 diabetes mellitus, 11 hypertension, 8 hyperlipidaemia, and 8 obstructive sleep apnea. The mean operative time was 106 min (range, 60–180) and mean duration of hospital stay was 18 h (range, 12–168). Operative complications included one subphrenic abscess, one gastrogastric hernia, and one acute respiratory distress syndrome. Thirty patients experienced strong restriction with nausea and vomiting for the first 10 days (79.5 %). Eleven patients (25.0 %) came back with intractable nausea and vomiting, and were hospitalized, or had their hospital stay prolonged. Four patients needed early reversal of gastric plication (9 %). There was no postoperative death. The mean postoperative % EWL was 30.6 % (n = 40), 57.0 % (n = 24), 50.7 % (n = 13) at 1, 6, and 12 months, respectively.
Conclusions
LGGCP yields an acceptable weight loss compared to other restrictive procedures, but with a higher readmission rate for postoperative nausea and vomiting, or even reversal of plication. We advocate more studies to evaluate safety and effectiveness.