Early results of a comparative study of a novel reversible weight loss surgery vs sleeve gastrectomy for morbid obesity

Tikfu Gee, MBBS, MS, Kheng Wah Ong, MBBS, MS, Zubaidah Hanifa, MBBS, MS, Oo Myint Minn, MBBS, MS, Suriyana Ghani, MBBS, Shu Yu Lim, MD

Universiti Putra Malaysia

Morbid obesity is a serious health problem. It is a growing pandemic with a heavy toll on morbidity and mortality. Dietary measures have proven to be ineffective for the majority of morbidly obese patients. Currently only bariatric surgery can offer a reasonably good solution in weight loss management for these patients. However bariatric surgery itself is associated with both morbidity and mortality, especially with procedures requiring resection and anastomosis. Newer and less invasive techniques are being investigated and trials anticipated. This study compares early results of gastric plication surgery (GPS), banded gastric plication surgery (banded GPS), adjustable gastric band (AGB) alone and sleeve gastrectomy (SG). Methods: All patients fulfill the criteria of being morbidly obese and have failed an initial minimal 6 months of dietary management. The cases are non randomized as the patient decides upon the type of surgery after a detailed explanation of all the 4 procedures. The study period was from June 2011 to May 2012. All the procedures are performed laparoscopically and weight loss results compared upto the first 6 months after surgery. The technique of gastric plication involves intra-corporeal in-folding of the greater curvature of the stomach using non-absorbable braided sutures. Banded GPS have a band applied to the stomach after the plication. Good results were seen with both the banded GPS as well as the GPS alone and are comparable to AGB and SG. None of the cases were associated with post-operative morbidity and mortality.

In conclusion gastric plication surgery (GPS) and the banded GPS are both feasible techniques and results in good early weight loss. In addition these procedures are completely reversible without the risk of anastomotic leaks. Larger trials and long term results are anticipated.

Session: Poster Presentation

Program Number: ETP076

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