Laparoscopic Greater Curvature Plication: Initial Results of an Alternative Restrictive Bariatric Procedure

Ramos, Almino Cardoso; Neto, Manoel Galvao; Galvao, Manoela; Evangelista, Luis Fernando; Campos, Josemberg Marins; Ferraz, Álvaro Antônio Bandeira

doi:10.1007/s11695-010-0132-0

Cited by 122 publications

(71 citation statements)

References 19 publications

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“…Recent procedures in which long-term outcome data is not yet available include: Laparoscopic gastric plication (LGP) in which infolding of the greater curvature of the stomach leads to tubularizing the stomach through intraluminal tissue fold. The current evidence on laparoscopic gastric plication for severe obesity raises no major safety concerns in short-to-medium term but more evidence is needed about the long-term efficacy of the procedure (EL B [129][130][131][132][133][134] ).…”

Section: Surgical Techniques Overviewmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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Section: Surgical Techniques Overviewmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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“…3,16,17 There are various methods for calibration of placated stomach. Talepbour did not use any calibrating device but he took the sutures 2 cm from the lesser curvature.…”

Section: Resultsmentioning

confidence: 99%

“…Pujol Gebelli used 36 and 48-F orogastric tube. 3,4,16,17 Since the difference in bougie diameter is few millimetres we prefer the use of 38-Fr bougie for calibration. This size seems appropriate at it is neither too small to cause gastric obstruction nor too big to leave a large gastric tube.…”

Section: Resultsmentioning

confidence: 99%

“…Some authors prefer 2 rows of running sutures, some used 2 rows of interrupted sutures and others recommend a combination of running and interrupted sutures. 3,7,8,10,11,16,17,20,21 Inner layer sutures are better to be taken in an interrupted manner to adjust the plication and to avoid suture breaking of continuous layer leading to failure. The outer layer should be running stitch to avoid herniation in between.…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic gastric plication: towards standardization

2017

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Background: Laparoscopic gastric plication (LGP) is a restrictive bariatric procedure which was found to be safe, effective and economic as well. However, it hasn't a good reputation among some bariatric surgeons due to some reasons; the most important of them is lack of standardization. Objective of the present stud was to study propose a standardized technique for LGP aiming at a better outcome. Setting. Settings: University-affiliated hospital.Methods: This is a retrospective analysis of patients who underwent LGP by the proposed technique., using seromuscular bites with non-absorbable thread, adoption of the four-bite technique, and calibration using bougie.Results: Eighty-eight consecutive morbidly obese patients had been operated by the proposed standardized technique of LGP between March 2010 and September 2014. There were 19 men and 69 women, with a mean age of 30.3 years and a mean BMI of 36.7kg/m2 (range 32-51kg/m2). The most frequently reported complication was prolonged early postoperative nausea/vomiting occurred in 5 of 88 (5.7%) patients. Weight regain was reported in one patient who was treated with conversion of LGP to laparoscopic mini-gastric bypass. Hospital stay was prolonged for a mean of 6.0 (3 -10 days). Postoperative follow-up period ranged from 2 to 38 months with a mean of 15 months. Percentage of excess weight loss was 38.2%, 52.0%, and 63.1% at 3, 6, and 12 months, respectively.Conclusions: The proposed technique of LGP would help in standardization of the procedure in order to improve the outcome; however, the clinical application of this proposed standardized technique should be tested by future studies.

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“…Uno de los procedimientos que más se realiza actualmente es la gastrectomía vertical tubular, sin embargo, los costos y complicaciones como fi ltraciones o estenosis han incentivado la búsqueda de otras alternativas para este procedimiento. Así una nueva técnica llamada plicatura gástrica ha sido reportada recientemente [7][8][9][10][11][12] . El objetivo de este trabajo es mostrar la técnica quirúrgica del primer caso realizado en Chile.…”

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Plicatura gástrica laparoscópica, un nuevo procedimiento bariátrico: a propósito de un caso clínico

et al. 2011

Rev Chil Cir

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Laparoscopic gastric plication, a new bariatric procedure: report of one caseBariatric surgery is an effective treatment for morbid obesity. Various techniques have been developed with different outcomes and complications. A new technique with promising results recently described in the literature: the gastric plication, which would not have the complications of using mechanical suture and would imply a reduction of costs. We report the fi rst case in Chile under this technique.Key words: Morbid obesity, bariatric surgery, gastroplasty, gastric plication. ResumenLa cirugía bariátrica es un tratamiento efectivo para la obesidad mórbida. Diversas técnicas se han desarrollado con diferentes resultados y complicaciones. Una nueva técnica con resultados prometedores se ha descrito recientemente en la literatura: la plicatura gástrica, la cual no tendría las complicaciones del uso de sutura mecánica e implicaría una reducción de los costos. Presentamos el caso clínico del primer paciente en Chile sometido a esta técnica.Palabras clave: Obesidad mórbida, cirugía bariátrica, gastroplastía, plicatura gástrica. CASOS CLÍNICOS IntroducciónLa obesidad es la epidemia del siglo XXI. Según la organización mundial de la salud, Arabia Saudita y Estados Unidos tienen 72,5% y 66,9% de su población con un índice de masa corporal (IMC) mayor o igual a 25 kg/mt 2 , respectivamente 1 . En nuestro país este porcentaje aumentó recientemente a un 67% 2 . La obesidad está ligada a comorbilidades tales como hipertensión arterial, diabetes, dislipidemia, apnea del sueño, enfermedad coronaria e infartos cerebrales 3,4 . La cirugía bariátrica reduce la ingesta calórica modifi cando la anatomía del tracto gastrointestinal. Éstas pueden ser cla-

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Laparoscopic Greater Curvature Plication: Initial Results of an Alternative Restrictive Bariatric Procedure

Abstract: LGCP is feasible, safe, and effective for at least 18 months when performed on morbidly obese patients. Longer follow-up and prospective comparative trials are needed.

Cited by 122 publications

References 19 publications

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Laparoscopic gastric plication: towards standardization

Plicatura gástrica laparoscópica, un nuevo procedimiento bariátrico: a propósito de un caso clínico

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