Helmuth Billy1, Amit Surve2, Ryan Fairley1, Daniel Cottam3, Austin Cottam2, Hinali Zaveri2, Samuel Cottam2. 1. Ventura Advanced Surgical Associates, 3200 Telegraph Rd, Ventura, CA, 93003, USA. 2. Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA. 3. Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA. drdanielcottam@yahoo.com.
Abstract
BACKGROUND: 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. The purpose of the study was to analyze the outcomes of LAGBP at 18 months. METHODS: Data from all patients who underwent a primary LAGBP procedure from December 2011 through 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 were 44.6 ± 12.7 years and 42.1 ± 5.1 kg/m2, respectively. The patients lost an average of 49% and 46.8% EWL at 12 months (77.2% follow-up) and 18 months (66.1% follow-up), respectively. The mean band adjustments were 2.1 ± 1.7 (range, 0-7) per patient in 1 year. The mean additional adjustment volume (infusion and withdrawal of saline) was 0.6 ± 1 cc. Dysphagia was the most common long-term complication. The band removal rate was 7.5%. 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.
BACKGROUND: 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. The purpose of the study was to analyze the outcomes of LAGBP at 18 months. METHODS: Data from all patients who underwent a primary LAGBP procedure from December 2011 through 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 were 44.6 ± 12.7 years and 42.1 ± 5.1 kg/m2, respectively. The patients lost an average of 49% and 46.8% EWL at 12 months (77.2% follow-up) and 18 months (66.1% follow-up), respectively. The mean band adjustments were 2.1 ± 1.7 (range, 0-7) per patient in 1 year. The mean additional adjustment volume (infusion and withdrawal of saline) was 0.6 ± 1 cc. Dysphagia was the most common long-term complication. The band removal rate was 7.5%. 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.
Entities:
Keywords:
Bariatric; Greater curve plication; Imbrication; LAGB; LAGBP; Laparoscopic adjustable band with plication
Authors: Davide Lomanto; Wei-Jei Lee; Rajat Goel; Jeannette Jen-Mai Lee; Asim Shabbir; Jimmy B Y So; Chih-Kun Huang; Pradeep Chowbey; Muffazal Lakdawala; Barlian Sutedja; Simon K H Wong; Seigo Kitano; Kin-Fah Chin; Chin Kin Fah; Hildegardes C Dineros; Andrew Wong; Anton Cheng; Shanker Pasupathy; Sang Kuon Lee; Paisal Pongchairerks; Tran Binh Giang Journal: Obes Surg Date: 2012-03 Impact factor: 4.129