Laparoscopic greater curvature plication for morbidly obese patients: Early experience of Alexandria University

Mohamed Sharaan, MD, Khaled Katry, MD, Tamer Abdelbaki, MS

Faculty of Medicine, University of Alexandria

Background: Laparoscopic greater curvature plication of the stomach is a new bariatric procedure considered as a One new restrictive technique for morbidly obese patients. It offers a way to reduce incidence of gastric leakage of that of sleeve gastrectomy and also reduce risk of gastric erosion produced by laparoscopic adjustable gastric banding. The aim of this study was to assess this bariatric procedure as an alternative bariatric procedure for morbidly obese patient to loose weight. We included in this study 52 morbidly obese patients, all of them were fit for surgery and with no history of previous upper abdominal surgery, and with BMI above 35 kg/ m2. We performed laparoscopic greater curvature plication using two layers , first one interrupted ethibond 2/0 and second one continuous prolene 2/0 starting from the funds till the level of the crow foot of the stomach. Mean BMI was 44.5 (36 to 49). Mean age was 38 years. We had 35 female and 17 male. Mean operative time was 122.6 minutes ( 100 to 188 minutes), and mean hospital stay was 1.5 days. No intraoperative complications, we had no leakage, we had two case of persistent postoperative vomiting due to obstructive gastric outlet cause of narrow pouch , one was treated just by upper endoscopy and dilatation and the other by removal of sutures near the outlet. The mean percentage of excess weight loss was 25% after 3 months and 38% after 6 months and 47% after 12 months postoperative. Conclusion: the laparoscopic greater curvature plication of the stomach is a feasible and safe procedure for morbidly obese patients with low morbidity and reversible in case of obstructive symptoms. More comparative randomized controlled trials are needed to justify more on its benefits for weights loss maintenance and morbidity.

Session: Podium Presentation

Program Number: S087

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