Helmuth Billy, MD1, Amit Surve, MD2, Ryan Fairley, DO1, Daniel Cottam, MD2, Austin Cottam, HS2, Aneesh Dhorepatil, MBBS2, Hinali Zaveri, MD2, Samuel Cottam, CNA2. 1Ventura Advanced Surgical Associates, 2Bariatric Medicine Institute
Introduction: Laparoscopic adjustable gastric band with plication (LAGBP) is a novel bariatric procedure which combines the adjustability of the laparoscopic adjustable gastric band (LAGB) with the restrictive nature of the vertical sleeve gastrectomy (VSG). The addition of plication of the stomach to LAGB should provide better appetite control, more effective weight loss, and greater weight loss potential.
Objective: The purpose of the study was to analyze the outcomes of LAGBP at 18 months.
Setting: This is a retrospective analysis from one surgeon at a single private institution.
Methods: Data from all patients who underwent a primary laparoscopic LAGBP procedure from December 2011 to June 2016 were retrospectively analyzed. Data collected from each patient included age, gender, weight, body mass index (BMI), and excess weight loss (EWL).
Results: Sixty-six patients underwent LAGBP. The mean age and BMI was 44.6 ± 12.7 years and 42.1 ± 5.1 kg/m², respectively. All 66 patients were beyond the 18-month postoperative mark. No patient was lost to follow-up. The patients lost an average of 49% and 46.8% excess weight loss (EWL) at 12 months (77.2% follow-up) and 18 months (66.1% follow-up), respectively. Also, the patients lost a mean BMI of 7.7 kg/m2 and 7.6 kg/m2 at 12 months and 18 months, respectively. The total number of fills during the study period was 201, and the mean fill volume was 0.6 ± 1 cc. Dysphagia was the most common long-term complication. The mortality rate was 0%.
Conclusions: LAGBP is a relatively safe and effective bariatric procedure. In light of recent studies demonstrating poor outcomes following LAGB, LAGBP may prove to be the future for patients desiring a bariatric procedure without resection of the stomach.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85218
Program Number: P563
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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