Long-Term Outcomes of Laparoscopic Gastric Plication for Treatment of Morbid Obesity: a Single-Center Experience

Abdelgawad, Mohamed; Elgeidie, Ahmed; Sorogy, Mohamed El; Elrefai, Mohamed; Hamed, Hosam; El-Magd, El-Sayed Abou

doi:10.1007/s11695-022-06217-3

Cited by 5 publications

(2 citation statements)

References 26 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 Laparoscopic gastric plication (LGP) showed a high incidence of revisional surgery for long-term weight regain. [9][10][11] As for laparoscopic sleeve gastrectomy (LSG), many authors highlighted the risk of failure in weight loss outcome and reflux onset which is causing the rise of revisional interventions post-LSG. [12][13][14] The controversy concerning long-term weight loss outcome after restrictive bariatric procedures initiated the debate about the choice of an adequate revisional intervention, a question still unanswered.…”

Section: Discussionmentioning

confidence: 99%

“…This was also the case for vertical band gastroplasty (VBG) which was also abandoned among primary bariatric surgeries 8 . Laparoscopic gastric plication (LGP) showed a high incidence of revisional surgery for long‐term weight regain 9–11 . As for laparoscopic sleeve gastrectomy (LSG), many authors highlighted the risk of failure in weight loss outcome and reflux onset which is causing the rise of revisional interventions post‐LSG 12–14 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

One anastomosis gastric bypass vs sleeve gastrectomy as a revisional bariatric surgery for weight loss failure after primary restrictive procedure

Mouawad,

Dahboul,

Chamaa

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

IntroductionWeight loss failure after restrictive bariatric procedures initiated the debate about the choice of an adequate revisional intervention, a question still unanswered. While many surgeons went for a conversion to gastric bypass, others opted for re‐trying a revisional restrictive procedure to avoid the side effects of gastric bypass. The objective of our study was to compare weight loss outcome between revisional laparoscopic sleeve gastrectomy (re‐LSG) and revisional one anastomosis gastric bypass (re‐OAGB) for insufficient weight loss or weight regain following primary restrictive bariatric surgery.Materials and MethodsWe included 20 obese patients, with a history of weight regain or insufficient weight loss after primary restrictive surgery, who underwent re‐LSG (eight patients) or re‐OAGB (12 patients) between January 2018 and January 2021. Patients were followed up 2 years after their revisional intervention. Statistics were performed using IBM® SPSS® software for Windows version 21.ResultsIn the re‐LSG group, the average body mass index (BMI) before primary restrictive procedure was 43.7 kg/m2. The average period between the primary and revisional surgery was 12.6 years. Patients had a nadir BMI of 33.2 kg/m2 during that period and reached a mean BMI of 40.6 kg/m2 before re‐LSG. Two years after re‐LSG, the average BMI was 31.5 kg/m2 with a percent of excess weight loss (%EWL) of 54% and percent of excess BMI loss (%EBMIL) of 66.6%. In the re‐OAGB group, the average BMI before primary restrictive procedure was 39 kg/m2. The average period between the primary and revisional surgery was 10.7 years. Patients had a nadir BMI of 30.5 kg/m2 during that period and reached a mean BMI of 36.5 kg/m2 before re‐OAGB. Two years after re‐OAGB, the average BMI was 27 kg/m2 with a %EWL of 86.7% and %EBMIL of 92.6%.ConclusionFor patients with insufficient weight loss or weight regain following primary restrictive bariatric surgery, re‐OAGB has a better effectiveness in weight reduction compared with re‐LSG after a 2‐year follow up.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

One anastomosis gastric bypass vs sleeve gastrectomy as a revisional bariatric surgery for weight loss failure after primary restrictive procedure

Mouawad,

Dahboul,

Chamaa

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

Jejunal stenosis as a sequela after laparoscopic sleeve gastrectomy for morbid obesity: a case series

2023

View full text Add to dashboard Cite

Porto-mesenteric venous thrombosis (PMVT) is a rare complication that is encountered in less than 1% of patients following laparoscopic sleeve gastrectomy (LSG). This condition could be conservatively managed in stable patients with no evidence of peritonitis or bowel wall ischemia. Nonetheless, conservative management may be followed by ischemic small bowel stricture, which is poorly reported in the literature. Herein, we present our experience regarding three patients who presented with manifestations of jejunal stricture after initial successful conservative management of PMVT. Retrospective analysis of patients who developed jejunal stenosis as a sequela after LSG. The three included patients had undergone LSG with an uneventful post-operative course. All of them developed PMVT that was conservatively managed mainly by anticoagulation. After they were discharged, all of them returned with manifestations of upper bowel obstruction. Upper gastrointestinal series and abdominal computed tomography confirmed the diagnosis of jejunal stricture. The three patients were explored via laparoscopy, and resection anastomosis of the stenosed segment was performed. Bariatric surgeons should be aware of the association between PMVT, following LSG, and ischemic bowel strictures. That should help in the rapid diagnosis of the rare and difficult entity.

show abstract

Long-Term Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: Critical Appraisal of the Role of Gastric Plication in Bariatric Surgery

et al. 2022

View full text Add to dashboard Cite

Background and Objectives: This single-center study aimed to assess the role of laparoscopic greater curvature plication (LGCP) in bariatric surgery. Materials and Methods: Using data from our institution’s prospectively maintained database, we identified adult patients with obesity who underwent either laparoscopic sleeve gastrectomy (LSG) or LGCP between January 2012 and July 2017. In total, 280 patients were enrolled in this study. Results: The body mass index was higher in the LSG group than in the LGCP group (39.3 vs. 33.3, p < 0.001). Both groups achieved significant weight loss during the 3-year follow-up (p < 0.001). The weight-reduction rate was higher in the LSG group than in the LGCP group 6, 12, and 24 months postoperatively (p = 0.001, 0.001, and 0.012, respectively). The reoperation rate of the LGCP group was higher than that of the LSG group (p = 0.001). No deaths were recorded in either group. Conclusions: Although both the LGCP and LSG groups achieved significant weight loss over three years, the LGCP group demonstrated a lower weight-reduction rate and a higher reoperation rate than the LSG group. Thus, it is necessary to reassess the role of LGCP in bariatric surgery, particularly when LSG is a feasible alternative.

show abstract

Long-Term Outcomes of Laparoscopic Gastric Plication for Treatment of Morbid Obesity: a Single-Center Experience

Cited by 5 publications

References 26 publications

One anastomosis gastric bypass vs sleeve gastrectomy as a revisional bariatric surgery for weight loss failure after primary restrictive procedure

One anastomosis gastric bypass vs sleeve gastrectomy as a revisional bariatric surgery for weight loss failure after primary restrictive procedure

Jejunal stenosis as a sequela after laparoscopic sleeve gastrectomy for morbid obesity: a case series

Long-Term Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: Critical Appraisal of the Role of Gastric Plication in Bariatric Surgery

Contact Info

Product

Resources

About