LSG as a single-stage bariatric procedure is safe and durable, achieving weight loss and resolution of comorbidities up to 5 years. Adherence to technical details is pivotal in reducing complications associated with the initial learning phase.
The "T-tape suspension" technique is simple, safe, and inexpensive and provides efficient retraction of the liver and gallbladder during bariatric surgery.
Bariatric surgery comprising various restrictive, malabsorptive and combined procedures is an effective modality in treating morbid obesity. Laparoscopic adjustable gastric banded plication (LAGBP) is a novel restrictive bariatric procedure which was introduced in 2009. LAGBP may provide comparable results to laparoscopic sleeve gastrectomy at 2 years in terms of complications, % excess weight loss (EWL) and co morbidity resolution. Modification in technique to a standardized LAGBP procedure which includes preserving right gastroepiploic vessels and standard plication volume facilitates in safety and feasibility of this procedure. The EWL at 6 months is 46.3 % (range 29.38-73.35). LAGBP has been proven to be an effective bariatric surgery in the mid-term and may become a popular and cost effective technique.
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