LDJB-SG was comparable to RYGB in terms of weight loss, glycemic control, and comorbidity resolution in BMI <35 kg/m(2) T2DM patients in the short-term.

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Bariatric surgery comprising various restrictive, malabsorptive and combined procedures is an effective modality in treating morbid obesity. Laparoscopic adjustable gastric banded plication (LAGBP) is a novel restrictive bariatric procedure which was introduced in 2009. LAGBP may provide comparable results to laparoscopic sleeve gastrectomy at 2 years in terms of complications, % excess weight loss (EWL) and co morbidity resolution. Modification in technique to a standardized LAGBP procedure which includes preserving right gastroepiploic vessels and standard plication volume facilitates in safety and feasibility of this procedure. The EWL at 6 months is 46.3 % (range 29.38-73.35). LAGBP has been proven to be an effective bariatric surgery in the mid-term and may become a popular and cost effective technique.

Background The coronavirus disease 2019 (COVID-19) pandemic led to a worldwide suspension of bariatric and metabolic surgery (BMS) services. The current study analyses data on patterns of service delivery, recovery of practices, and protective measures taken during the COVID-19 pandemic by bariatric teams. Materials and Methods The current study is a subset analysis of the GENEVA study which was an international cohort study between 01/05/2020 and 31/10/2020. Data were specifically analysed regarding the timing of BMS suspension, patterns of service recovery, and precautionary measures deployed. Results A total of 527 surgeons from 439 hospitals in 64 countries submitted data regarding their practices and handling of the pandemic. Smaller hospitals (with less than 200 beds) were able to restart BMS programmes more rapidly (time to BMS restart 60.8 ± 38.9 days) than larger institutions (over 2000 beds) (81.3 ± 30.5 days) (p = 0.032). There was a significant difference in the time interval between cessation/reduction and restart of bariatric services between government-funded practices (97.1 ± 76.2 days), combination practices (84.4 ± 47.9 days), and private practices (58.5 ± 38.3 days) (p < 0.001). Precautionary measures adopted included patient segregation, utilisation of personal protective equipment, and preoperative testing. Following service recovery, 40% of the surgeons operated with a reduced capacity. Twenty-two percent gave priority to long waiters, 15.4% gave priority to uncontrolled diabetics, and 7.6% prioritised patients requiring organ transplantation. Conclusion This study provides global, real-world data regarding the recovery of BMS services following the COVID-19 pandemic. Graphical abstract