Short-Term Analysis of Food Tolerance and Quality of Life after Laparoscopic Greater Curvature Plication

Abstract

PurposeThe aim of this study was to compare short-term outcomes [food tolerance scores (FTS) and quality of life] after three types of restrictive bariatric surgery: laparoscopic adjustable gastric banding (LAGB), laparoscopic greater curvature plication (LGCP), and laparoscopic sleeve gastrectomy (LSG).Materials and MethodsFrom January 2012 to December 2013, all patients that underwent primary surgery were included in one of the LAGB, LGCP, or LSG groups. These three groups were then compared with respect to FTS, gastrointestinal quality of life indices (GIQLI), and the Medical Outcomes Study Short-Form 36 (SF-36) questionnaire. Questionnaires were sent to all patients both pre- and post-operatively.ResultsA total of 85 patients (LAGB=45, LGCP=22, and LSG=18) returned the questionnaires in full, and these patients constituted the study cohort. The cohort was predominately female (n=73, 85.9%). Mean percentage excess weight loss (%EWL) values after LAGB, LGCP, and LSG were 65.4±27.0%, 65.6±25.2%, and 82.7±21.7%, respectively (p=0.044). Mean postoperative FTSs and improvements in total GIQLIs after LAGB, LGCP, and LSG were 15.96, 20.95, and 21.33 and -3.40, 6.68, and 18.78, respectively (p<0.05). All procedures produced improvements in the three SF-36 domain scores. Subgroup analysis revealed significant differences between the three procedures in terms of improvements in general health and emotional well-being.ConclusionLGCP is safe and effective at achieving significant weight loss. In terms of food tolerance and GI quality of life, LGCP was found to be comparable to gastric banding and sleeve gastrectomy.

Short-Term Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy in Patients with a Body Mass Index of 30 to 35 kg/m2

“… 5 7 On the other hand, LGCP has shown more sustained weight loss and higher levels of satisfaction Class I or II obese patients. 8 9 10 11 In another study, similar positive findings were reported for this patient population for LSG. 12 In the present study, we evaluated the treatment outcomes of LGCP and LSG in obese patients with a body mass index (BMI) ranging from 30 to 35 kg/m 2 .…”

“…However, the underlying mechanism of GERD appears to differ after LGCP or LSG. Kim and Kim 11 suggested that GER after LGCP is due to high intraluminal pressure and resulting ‘transient LES insufficiency’ rather than a damaged anti-reflux mechanism resulting from gastric resection during LSG. In our clinical experience, many patients complain of reflux symptom for several months after LGCP, but few complain of persistent symptomatic GERD.…”

“…We have described the surgical techniques adopted for LGCP in previous studies. 10 11 In brief, after gastrolysis of the greater omentum from the greater curvature of the stomach, a Bougie (36 Fr) was inserted by an anesthesiologist to guide the infolding procedure. Gastric infolding was performed using two layers of non-absorbable sutures [inner interrupted sutures of 2-0 Ethibond® (Ethicon, Somerville, NJ, USA) and outer continuous sutures of 2-0 polypropylene (Prolene®; Ethicon, Somerville, NJ, USA) or V-Loc™ (Covidien, Norwalk, CT, USA)].…”

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

“…Although gastric plication has functional restrictive effects [ 54 ], sleeve gastrectomy affects residual gastric volume, gastrointestinal tract motility, and hormonal balance [ 55 ]. The competence of gastric plication in weight loss has been demonstrated in clinical settings [ 56 , 57 ]. Comparative studies for LSG and LGP are not conclusive [ 26 , 29 , 35 ].…”

Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani provence –Kurdistan-Iraq, based on 4 years experience in two bariatric centers

“…Obesity is widely known as a major health risk factor, and bariatric surgery has proved to be significantly effective and a safe procedure [ 8 ], results in sustainable and effective reduction in body weight [ 19 , 20 ], on a long-term basis [ 21 ], which provides meaningful weight loss and improvement in the quality of life [ 22 ], which is an effective alternative to the current standard procedures [ 23 ].…”