• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Laparoscopic vertical gastric plication as an alternative to sleeve gastrectomy: comparison of postoperative complications and short term outcome. A case control study.

Elie K Chouillard, MD, PhD, Naim Schoucair, MD, Elias Chahine, MD. Paris Poissy Medical Center

Backgroud: Obesity is a major public health problem. Surgery is considered the best treatment for morbid obesity. Laparoscopic sleeve gastrectomy (LSG) is nowadays the most commonly performed bariatric procedure in France. However, newer surgical and endoscopic techniques are emerging. Among these, laparoscopic vertical gastric plication (LVGP) is presented as an alternative for LSG with theoretical advantages including mainly lower postoperative morbidity, higher efficiency, and reversibility. Moreover, published results in terms of weight loss suggest that LSG and LVGP are comparable, at least upon short and mid-term follow-up. The goal of our retrospective, case-control study is to compare early morbidity and mortality as well as short term outcome in two groups of patients with morbid obesity who had LVGP or LSG, respectively.

Methods: In January 2010, we started performing LVGP in patients with morbid obesity. The first 50 procedures were considered as part of the learning and excluded from analysis. From March 2011 to January 2012, 40 consecutive patients had LVGP (Group I) for morbid obesity. During the same period, 280 patients had LSG. Of these, 40 (Group II) were matched with Group I patients according to age, sex, and body mass index (BMI). The primary endpoint was morbidity and mortality rates. Secondary endpoints included operative time, hospital stay, cost, and 6-months and 12-months percentage of excess weight loss (EWL) as well as the outcome of associated comorbidities.

Results: No postoperative mortality was observed in either group. One patient in each groups had postoperative bleeding with conservative management. No reoperation was needed. Overall morbidity rate (including nausea and vomiting) reached 20 % in Group I and 10 % in Group II (P=0.04). The most common complication was nausea occurring in 20 % of patients in Group I and 5 % of patients in Group II, respectively (P<0.001). No clinical or radiological leak occurred. Mean operative time was 91.5 +/- 18.6 min in Group I and 81 min +/- 16.8 min in Group II (P=0.104). Mean hospital stay was 3.2 +/- 1.1 days in Group I and 3.4 +/- 1.2 days Group II (P=0.614). Average total Operating Room (OR) cost was 1736 euros for LVGP compared to 2842 euros for LSG (P<0.001). At 6-months follow-up, comorbidities including hypertension and sleep apnea improved identically in both groups. At 12-months follow-up, mean EWL was 56.5 % +/- 9.8 % in Group I and 71.3 % +/- 10.4 in Group II (P=0.041).

Conclusion: LVGP is a sure and feasible bariatric procedure with low rates of serious complications. As compared to LSG, LVGP is associated to relatively higher postoperative rate of nausea. As for direct OR cost, LVGP is more efficient than LSG, saving more than 1000 euros per procedure. However, LVGP is associated to lower EWL at 12-months follow-up (P=0.041). Additional prospective comparative studies with longer term follow-up data are required.

96

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2015 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons