Laparoscopic Gastric Plication vs Laparoscopic Sleeve Gastrectomy - A Single Center, Prospective and Case-Control Study

Neagoe, Radu Mircea; Timofte, Daniel; Mureşan, Mircea; Voidăzan, Septimiu; Sala, Daniela; Borz, M.B.; Borz, Paul Cristian; Ciuntu, Bogdan Mihnea; Bălan, Gheorghe G.; Borz, Oliviu Cristian

doi:10.21614/chirurgia.114.6.769

Cited by 10 publications

(6 citation statements)

References 18 publications

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“…LGP is not a widely applied restrictive procedure due to the necessity for expert skills in laparoscopic hand sutures and controversial results in the past [ 9 – 24 ]. In case series, favourable complication rates and weight-loss outcomes were observed [ 9 – 14 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…If lifestyle modifications failed, bariatric surgery would be advised to morbidly obese patients [ 2 – 8 ]. LAGB, LSG and LGP are restrictive procedures [ 2 – 24 ]. BPD, SADJ-SG or SADI-SG, LRYGB and OAGB are malabsorptive surgical techniques [ 25 – 42 ].…”

Section: Introductionmentioning

confidence: 99%

“…SG is the first part of these procedures which is very popular among bariatric surgeons due to its simplicity; however, it is only a restrictive method without the advantages of exclusion duodeno-jejunal mucosa from digestion. The major concerns of LSG are bleeding, leakage and augmented symptoms of GERD after surgery [ 2 – 7 , 15 , 19 , 20 , 22 , 24 ]. During LGP, greater curvature of the stomach is invaginated into the gastric lumen in two or three folds by two layers of laparoscopic interrupted or running sutures.…”

Section: Introductionmentioning

confidence: 99%

“…Gastric necrosis or perforation occurs rarely. Nausea and vomiting are associated with LGP very frequently [ 10 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

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A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity

Balint

Csaszar

Orban³

et al. 2021

Langenbecks Arch Surg

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Background Bariatric surgery is more effective in the management of morbid obesity and related comorbidities than is conservative therapy. Pylorus-preserving single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-SG) is a modified duodenal switch technique. Gastric plication (GP) is an alternate to SG. Methods Morbidly obese (BMI of > 40, or > 35 in the presence of diabetes or prediabetes) patients were recruited and operated on to perform SADI with GP. Complications related to surgery were recorded to assess the feasibility of the procedure. Weight-loss outcomes were analysed to determine efficacy. Minnesota Multiphasic Personality Inventory 2 (MMPI-2) was recorded after 1 year of follow-up, and test scales were used to describe physiological phenomena. Results Seventeen middle-aged (mean: 40 years) patients were involved in our study; 15 of them were females. The mean duration of surgery was 205 min. There were no complications of conversion, death, bleeding, VTE or 30-day readmission to hospital. We did experience CD4a (pulmonary insufficiency due to chronic lung disease) and a CD3b (anastomosis leakage treated laparoscopically) complications. Vomiting occurred in three cases (CD1). Obesity-related comorbidities showed favourable resolution rates (77.8% for hypertension, 81.2% for dyslipidaemia, 100% for diabetes at the 1-year follow-up). Weight-loss outcomes were favourable (53.20 EWL%, and 35.58 TWL% at 1-year follow-up). Greater weight loss caused significantly higher levels of Depression (t(13.958) = − 2.373; p = 0.00; p < 0.05) and Low Positive Emotions (t(13.301) = − 2.954; p = 0.00; p < 0.05) and Introversion/Low Positive Emotionality (t(13.408) = − 1.914; p = 0.02; p < 0.05) in MMPI-2 data. Conclusion According to our safety study, SADI-GP is a promising malabsorptive procedure, but a long-term high-volume case series or a randomised controlled trial is necessary to evaluate complication rates and weight-loss outcomes. Emotional dysregulation is common among bariatric surgery patients according to personality inventory data; therefore, psychological follow-up and psychotherapeutic support are necessary for weight-loss maintenance.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Gastric necrosis or perforation occurs rarely. Nausea and vomiting are associated with LGP very frequently [ 10 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity

Balint

Csaszar

Orban³

et al. 2021

Langenbecks Arch Surg

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“…All our patients underwent laparoscopic sleeve gastrectomy (LSG), the steps of the procedure being previously described by us [12,13], with no major technical differences in relation to the aim of the present study.…”

Section: Surgical Intervention Protocolmentioning

confidence: 99%

Monocyte to high-density lipoprotein cholesterol ratio is correlated with baseline anthropometric measurements in patients with obesity but not with weight-loss process after sleeve gastrectomy - An observational cohort study

Sala,

Kiss,

Daniealopol

et al. 2024

Revista Romana De Medicina De Laborator

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Introductionː A strong connection between inflammation and obesity was repeatedly described, with the latter defined as a chronic low-degree systemic inflammatory state. This study analyzed the correlations between inflammatory blood indexes and both baseline anthropometric measurements and the weight–loss process after bariatric surgery. Methodsː An observational study was conducted on patients with obesity admitted for metabolic surgery in a private and a public hospital. The primary endpoints were to establish correlations between baseline inflammatory ratios i.e. neutrophil to lymphocyte (NLR), platelet to lymphocyte (PLR), monocyte to lymphocyte (MLR), monocyte to high-density lipoprotein cholesterol (MHR) ratios, systemic inflammatory index (SII) and anthropometric measurements. Secondary endpoints were to find out if these ratios measured at baseline are predictive factors for weight loss after bariatric surgery. Results: In the present study, we included 191 patients, mean age 39.1±10,7 and mean BMI 42,2±6,5 kg/m2. There was a positive correlation between MHR and all anthropometric measurements taken at baseline; a direct correlation was also found for MLR in regards to initial weight and waist circumference. No statistical correlations were found between the above-mentioned indexes and the weight loss process (measured as a percentage of excess weight loss - %EWL) at different follow-up timeframes. Conclusionsː Monocyte to high-density lipoprotein cholesterol ratio (MHR) was positively associated with baseline anthropo-metric measurements in patients with obesity. The above-mentioned inflammatory ratios did not correlate with the weight loss process after bariatric surgery, thus they should not be used as predictors of good postoperative results.

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How Bad Is “Bad”? A Cost Consideration and Review of Laparoscopic Gastric Plication Versus Laparoscopic Sleeve Gastrectomy

Suarez

Gangemi

2020

OBES SURG

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Laparoscopic Gastric Plication vs Laparoscopic Sleeve Gastrectomy - A Single Center, Prospective and Case-Control Study

Cited by 10 publications

References 18 publications

A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity

A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity

Monocyte to high-density lipoprotein cholesterol ratio is correlated with baseline anthropometric measurements in patients with obesity but not with weight-loss process after sleeve gastrectomy - An observational cohort study

How Bad Is “Bad”? A Cost Consideration and Review of Laparoscopic Gastric Plication Versus Laparoscopic Sleeve Gastrectomy

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