Short-Term Outcomes of Laparoscopic Gastric Plication in Morbidly Obese Patients: Importance of Postoperative Follow-up

2012 ◽  
Vol 23 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Mani Niazi ◽  
Ali Reza Maleki ◽  
Mohammad Talebpour
Keyword(s):  
Morbidly Obese ◽  
Gastric Plication ◽  
Obese Patients ◽  
Short Term ◽  
Laparoscopic Gastric Plication

scholarly journals Laparoscopic gastric plication: towards standardization

2017 ◽  
Vol 5 (1) ◽  
pp. 221
Author(s):  
Ahmed Abdel Monem Ibrahim ◽  
Ahmed Elgeidie ◽  
Nabil Gadelhak
Keyword(s):  
Weight Regain ◽  
Excess Weight Loss ◽  
Mini Gastric Bypass ◽  
Morbidly Obese ◽  
Gastric Plication ◽  
Obese Patients ◽  
Future Studies ◽  
Laparoscopic Gastric Plication ◽  
Good Reputation

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.

Roux-en-Y Gastric Bypass Is More Effective than Sleeve Gastrectomy in Improving Postprandial Glycaemia and Lipaemia in Non-diabetic Morbidly Obese Patients: a Short-term Follow-up Analysis

2018 ◽  
Vol 28 (12) ◽  
pp. 3997-4005 ◽  
Author(s):  
Christos Liaskos ◽  
Chrysi Koliaki ◽  
Kleopatra Alexiadou ◽  
Georgia Argyrakopoulou ◽  
Nicholas Tentolouris ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Short Term ◽  
Postprandial Glycaemia

Serum proteome changes and accelerated reduction of fat mass after laparoscopic gastric plication in morbidly obese patients

2019 ◽  
Vol 203 ◽  
pp. 103373 ◽  
Author(s):  
Parisa Savedoroudi ◽  
Tue Bjerg Bennike ◽  
Kenneth Kastaniegaard ◽  
Mohammad Talebpour ◽  
Alireza Ghassempour ◽  
...  
Keyword(s):  
Fat Mass ◽  
Morbidly Obese ◽  
Gastric Plication ◽  
Obese Patients ◽  
Serum Proteome ◽  
Laparoscopic Gastric Plication ◽  
Proteome Changes

Improvement in Obstructive Sleep Apnea (OSA) in Super Morbidly Obese Patients After Bariatric Surgery

2020 ◽  
Vol 103 (8) ◽  
pp. 725-728
Keyword(s):  
Bariatric Surgery ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Lifestyle Modification ◽  
Apnea Hypopnea Index ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Obstructive Sleep ◽  
Objective Evidence

Background: Lifestyle modification is the mainstay therapy for obese patients with obstructive sleep apnea (OSA). However, most of these patients are unable to lose the necessary weight, and bariatric surgery (BS) has been proven to be an effective modality in selected cases. Objective: To provide objective evidence that BS can improve OSA severity. Materials and Methods: A prospective study was conducted in super morbidly obese patients (body mass index [BMI] greater than 40 kg/m² or BMI greater than 35 kg/m² with uncontrolled comorbidities) scheduled for BS. Polysomnography (PSG) was performed for preoperative assessment and OSA was treated accordingly. After successful surgery, patients were invited to perform follow-up PSG at 3, 6, and 12 months. Results: Twenty-four patients with a mean age of 35.0±14.0 years were enrolled. After a mean follow-up period of 7.8±3.4 months, the mean BMI, Epworth sleepiness scale (ESS), and apnea-hypopnea index (AHI) significantly decreased from 51.6±8.7 to 38.2±6.8 kg/m² (p<0.001), from 8.7±5.9 to 4.7±3.5 (p=0.003), and from 87.6±38.9 to 28.5±21.5 events/hour (p<0.001), respectively. Conclusion: BS was shown to dramatically improve clinical and sleep parameters in super morbidly obese patients. Keywords: Morbid obesity, Bariatric surgery, Obstructive sleep apnea (OSA)

Diverted sleeve gastrectomy with ileal transposition in overweight, obese, and morbidly obese patients with type 2 diabetes: results of 1-year follow-up

2016 ◽  
Vol 12 (3) ◽  
pp. 541-549 ◽  
Author(s):  
Alper Celik ◽  
Eylem Cagiltay ◽  
Surendra Ugale ◽  
Muharrem Asci ◽  
Bahri Onur Celik ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Sleeve Gastrectomy ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Ileal Transposition
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