Excess Body Weight Loss After Laparoscopic Gastric Plication
Mohamed Salah Abdelhamid,
Ayman Hamdi Abouleid,
Mohamed Hasan Abdelmola,
Ahmed Mohamed Rashad,
Mahmoud Ahmed Negida,
Ahmed Zaky Gharib
Issue:
Volume 4, Issue 2, April 2016
Pages:
6-8
Received:
25 February 2016
Accepted:
5 March 2016
Published:
22 March 2016
Abstract: Gastric plication was selected for cases with potential for continuous diet and exercise after operation. The appetite of patients decreased after operation due to total gastric volume restriction. The study aimed at finding if it is worth or not to plicate in relation to excess body weight loss (EBWL). 47 patients were enrolled in the study between May 2014 till Nov 2015 with follow up till Nov 2015 with body mass index (BMI) of 38 -65. Laparoscopic gastric placation (LGP) was done to all using two rows of continuous o prolene thread aided with harmonic scalpel. BMI and EBW were calculated prior to LGP then EBWL was estimated at six months and one year. The following scale was applied regarding EBWL 0- 14 %failure, 15% -39% poor, 40%- 69% medium, 70% or more excellent outcome, while regain of 10% or more marked as regain. We had one (2.1%) deplication, six (12.7%) regained weight, two (4.2%) failures, fourteen (29.7%) poor, sixteen (34%) medium outcome and eight (17%) with excellent outcome regarding EBWL. We concluded that it is very difficult to roll out LGP, we found it is worth to do LGP although only 17% got excellent EBWL and 34% got medium EBWL which was acceptable to those patients which represent more than 50% of our patients. This acceptance was supported by the low cost, safety and the potential reversibility of the procedure.
Abstract: Gastric plication was selected for cases with potential for continuous diet and exercise after operation. The appetite of patients decreased after operation due to total gastric volume restriction. The study aimed at finding if it is worth or not to plicate in relation to excess body weight loss (EBWL). 47 patients were enrolled in the study betwee...
Show More
