Sleeve VS Plication: 256 Cases Non-Randomized Study

Ali Fardoun, MD

Emirates International Hospital,Al-Ain,UAE

Method ; We have done 256 Bariatric cases of gastric sleeve and gastric placation in one year and a half ( February 2011 till September 2012 ) mostly in UAE ( 18 cases in Lebanon and one case in Barcelona). All done by one surgeon . 105 cases of Gastric Placation, LGCP ( 71 females and 34 males) BMI 37- 55 Kg / m2 mean BMI 44.2 , age between 14-55 years . We had 151 cases of Gastric Sleeve, LGS( 91 females and 64 males) BMI 39-67, mean;48.3 and age 17-53 years. All were non-randomized selection considering Gastric Plication LGCP for low BMI less than 45kg/m2 and Sleeve, LGS, for high BMI more than 45kg/m2

Results: in LGP vs LGCP; Leak occurred in 3 /151 (2 %) vs 1/105(1%) . Bleeding 2/151(1.32%) vs 0% . Intra-abdominal abscesses: 1/151(0.66) Vs 0%. Wound infection 2/151 (1.3%) in LGS vs. 0% in LGCP. Port site hernia 1/151 (0.66%) vs. o% in LGCP. Obstruction or Stenosis O% VS.2/105 (2%)in LGCP, one resolved by surgical redo and the other by observation . Mortality 0% in both groups. Post-Op Vomiting 14/151 (9.27%) vs. 52/105 (49%) in LGCP. Salivation 9/151 (5.96%) vs.41/105 (39%) in LGCP. Reflux 23/151 (15.23%) vs.9/105 (9.5%) . Hunger 13/151 (8.6%) vs. 31/105 (29%). Epigastric Pain after surgery 11/151 (7.2%) vs. 29/105 (27%). Weight loss is shown down with extensive follow up 63% of LGS VS 61 in LGCP.

Conclusion: Laparoscopic gastric plication is giving good results and attracting a big number of surgeons for the low rate of complications compared with the sleeve . Still the technique is not standarized and the same for sleeve where many modifications exist. Waiting for more serious studies and big number of cases to win the recognition as an option to teat morbid obesity.


Session: Poster Presentation

Program Number: P431

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