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158961

Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Obesity is a global epidemic. Laparoscopic greater curvature plication [LGCP] is a restrictive surgical procedure described for the first time on 1981 by Wilkinson. Fundectomy is a selective resection of the acid-producing segment of the stomach, with removal of peptide hormone-producing cells [the oxyntic mucosa] as a consequence of the fundectomy.   
Aim of the work: Our aim is to assess the feasibility and advantages of the novel modification for morbidly obese patients which include fundectomy with greater curvature plication.
Patients and Methods: Ten patients were included in this study, which carried out at Al-Azhar University Hospital [New Damietta].
Results: Body mass index [BMI] ranged from 30 to 48 kg/m2 [the mean was 38.8 kg/m2]. Operative time ranged from 60 to 120 minutes [Mean time: 93.5 minutes]. The mean hospital stay time was 1.35 days. The mean estimated weight loss percentage [EWL%] was 29.1% at three months, 44.6% at six months, 60.4% at one year, and 72.4% at two years. EWL% was less than 50% for one patient which needs reoperation with Laparoscopic Sleeve Gastrectomy. Two patients [20%] developed heartburn due to gastroesophageal reflux disease [GERD]. Nine patients [90%] presented nausea, and vomiting was present in four patients [40%].
Conclusion: Fundectomy and Greater curvature plication is a feasible, safe, effective as a bariatric operation with avoidance of complications of other bariatric operations. As a new modification for bariatric surgery, this operation needs more investigations and longer periods for follow up.

DOI

10.21608/ijma.2021.49531.1207

Keywords

Ghrelin Hormone, greater curvature plication, Laparoscopic sleeve gastrectomy, Bariatric surgery, Fundectomy

Authors

First Name

Ayman Mahmoud

Last Name

Elwan

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

elwanetal@gmail.com

City

New Damietta

Orcid

-

First Name

Amro

Last Name

Sarhan

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dramro.sarhan@domazhermedicine.edu.eg

City

Mansoura

Orcid

-

First Name

Abdelhameed

Last Name

Hifny

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt , Alghad University, Kingdom of Saudi Arabia

Email

hameedhifnyinmadina@gmail.com

City

KSA

Orcid

-

First Name

Mohammed

Last Name

Eid

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

meid@yahoo.com

City

Damietta

Orcid

-

First Name

Salah Gomaa

Last Name

Ahmed Mohamed

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

salah.ziadah@domazhermedicine.edu.eg

City

Mansura

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2020-11-11

Publish Date

2021-04-01

Page Start

1,299

Page End

1,305

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1299-1305.pdf

PDF . 1.4MB

Link

https://ijma.journals.ekb.eg/article_158961.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=158961

Order

18

Type

Case Report

Type Code

819

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023