179282

Laparoscopic greater curvature plication for treatment for morbidly obese patients: Early experience of Alexandria University

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Last updated: 05 Jan 2025

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Abstract

Background: Gastric restrictive  procedures currently performed  for morbidly  obese patients include  either  gastric  resection  by Laparoscopic Sleeve  Gastrectomy or by implanted device (Laparoscopic Adjustable Gastric  Banding). We present  our  early  experience of a feasibility study  using  Laparoscopic Gastric   Greater  Curvature Plication  (LGGCP)   for  weight  loss instead  of stapling  or banding. Methods: After  approval  of the Ethical  Committee of Alexandria University Hospital, and taking  an  informed   consent  from  our  patients,  we  performed  LGGCP  in  68  patients.  After mobilization of the greater  curvature,  it was folded  inwards  by two layers  of non-absorbable sutures. Results:  Our  average  Body  Mass Index  (BMI)  was  42  kg fm2,  mean  operative time  111 minutes.  There  was no conversion to laparotomy.  The  mean percentage of excess  weight  loss (EWL)  at 10 days, 1 month, 3 months,  6 months and 12 months were 10%, 16%, 25%, 35%, and 56% respectively. No intra-operative complications, no mortality, 5.8% major complications in the form of one case of fundic herniation that required laparoscopic partial  gastrectomy, and 3 cases of obstructed pouch,  one required undo-plication, the other one was relieved  by medical treatment,  and the last one improved  by upper endoscopic dilatation. Conclusion: Our early experience has suggested  that LGGCP  is a successful  way to reduce the stomach capacity,  and an acceptable early weight loss. LGGCP  is safe and feasible but it is not without  complications. Prospective randomized study between  LGGCP  and Laparoscopic Sleeve Gastrectomy is needed.  

DOI

10.21608/asjs.2013.179282

Volume

6

Article Issue

1

Related Issue

25656

Issue Date

2013-01-01

Receive Date

2021-06-22

Publish Date

2013-01-01

Page Start

137

Page End

145

Print ISSN

2090-7249

Online ISSN

3009-7509

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https://asjs.journals.ekb.eg/article_179282.html

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https://asjs.journals.ekb.eg/service?article_code=179282

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17

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Laparoscopic greater curvature plication for treatment for morbidly obese patients: Early experience of Alexandria University

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Article

Created At

23 Jan 2023