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Laparoscopic greater curvature plication: surgical techniques and early outcomes of a Chinese experience.
Surg Obes Relat Dis. 2014 May-Jun; 10(3):432-7.SO

Abstract

BACKGROUND

Laparoscopic greater curvature plication (LGCP) is a novel restrictive bariatric procedure that can reduce the gastric volume by infolding the gastric greater curvature without gastrectomy. The objective of this study was to describe the surgical technique of LGCP and validate the efficacy and safety of LGCP for the treatment of obesity in obese Chinese patients with a relatively low body mass index (BMI).

METHODS

Twenty-two obese patients (mean age 33.8±6.0 years; mean BMI 37.0±7.0 kg/m(2)) underwent LGCP between September 2011 and September 2012. After dissecting the greater omentum and short gastric vessels, the gastric greater curvature plication with 2 rows of nonabsorbable suture was performed under the guidance of a 32-F bougie. The data were collected during follow-up examinations performed at 1, 3, 6, and 12 months postoperatively.

RESULTS

All procedures were performed laparoscopically. The mean operative time was 84.1 minutes (50-120 min), and the mean length of hospital stay was 3.8 days (2-10 d). There were no deaths or postoperative major complications that needed reoperation. The mean percentage of excess weight loss (%EWL) was 22.9%±6.9%, 38.6%±9.8%, 51.5%±13.5%, and 61.1%±15.9% at 1, 3, 6, and 12 months postoperatively. At 6 months, type 2 diabetes was in remission in 2 (50%) patients, hypertension in 1 (33.3%) patient, and dyslipidemia in 11 (78.6%) patients. Decreases in the index for homeostasis model assessment of insulin resistance (HOMA-IR) and in insulin and glucose concentrations were observed.

CONCLUSIONS

The early outcomes of LGCP as a novel treatment for obese Chinese with a relatively low BMI are satisfactory with respect to the effectiveness and low incidence of major complications. Additional long-term follow-up and prospective, comparative trials are still needed.

Authors+Show Affiliations

Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, People's Republic of China; Department of Thoracic Surgery, Zhejiang Cancer Hospital, Hangzhou People's Republic of China.Clinical Medical School, Hangzhou Normal University, Hangzhou, People's Republic of China.Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, People's Republic of China. Electronic address: wydong2003@hotmail.com.Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, People's Republic of China.Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, People's Republic of China.Department of General Surgery and Laparoscopic Center, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, People's Republic of China.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24210332

Citation

Shen, Dijian, et al. "Laparoscopic Greater Curvature Plication: Surgical Techniques and Early Outcomes of a Chinese Experience." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 3, 2014, pp. 432-7.
Shen D, Ye H, Wang Y, et al. Laparoscopic greater curvature plication: surgical techniques and early outcomes of a Chinese experience. Surg Obes Relat Dis. 2014;10(3):432-7.
Shen, D., Ye, H., Wang, Y., Ji, Y., Zhan, X., & Zhu, J. (2014). Laparoscopic greater curvature plication: surgical techniques and early outcomes of a Chinese experience. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(3), 432-7. https://doi.org/10.1016/j.soard.2013.09.004
Shen D, et al. Laparoscopic Greater Curvature Plication: Surgical Techniques and Early Outcomes of a Chinese Experience. Surg Obes Relat Dis. 2014 May-Jun;10(3):432-7. PubMed PMID: 24210332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic greater curvature plication: surgical techniques and early outcomes of a Chinese experience. AU - Shen,Dijian, AU - Ye,Huan, AU - Wang,Yuedong, AU - Ji,Yun, AU - Zhan,Xiaoli, AU - Zhu,Jinhui, Y1 - 2013/09/20/ PY - 2012/03/27/received PY - 2013/08/21/revised PY - 2013/08/21/accepted PY - 2013/11/12/entrez PY - 2013/11/12/pubmed PY - 2015/5/27/medline KW - Greater curvature plication KW - Laparoscopic bariatric surgery KW - Morbid obesity KW - Restrictive procedure SP - 432 EP - 7 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 3 N2 - BACKGROUND: Laparoscopic greater curvature plication (LGCP) is a novel restrictive bariatric procedure that can reduce the gastric volume by infolding the gastric greater curvature without gastrectomy. The objective of this study was to describe the surgical technique of LGCP and validate the efficacy and safety of LGCP for the treatment of obesity in obese Chinese patients with a relatively low body mass index (BMI). METHODS: Twenty-two obese patients (mean age 33.8±6.0 years; mean BMI 37.0±7.0 kg/m(2)) underwent LGCP between September 2011 and September 2012. After dissecting the greater omentum and short gastric vessels, the gastric greater curvature plication with 2 rows of nonabsorbable suture was performed under the guidance of a 32-F bougie. The data were collected during follow-up examinations performed at 1, 3, 6, and 12 months postoperatively. RESULTS: All procedures were performed laparoscopically. The mean operative time was 84.1 minutes (50-120 min), and the mean length of hospital stay was 3.8 days (2-10 d). There were no deaths or postoperative major complications that needed reoperation. The mean percentage of excess weight loss (%EWL) was 22.9%±6.9%, 38.6%±9.8%, 51.5%±13.5%, and 61.1%±15.9% at 1, 3, 6, and 12 months postoperatively. At 6 months, type 2 diabetes was in remission in 2 (50%) patients, hypertension in 1 (33.3%) patient, and dyslipidemia in 11 (78.6%) patients. Decreases in the index for homeostasis model assessment of insulin resistance (HOMA-IR) and in insulin and glucose concentrations were observed. CONCLUSIONS: The early outcomes of LGCP as a novel treatment for obese Chinese with a relatively low BMI are satisfactory with respect to the effectiveness and low incidence of major complications. Additional long-term follow-up and prospective, comparative trials are still needed. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/24210332/Laparoscopic_greater_curvature_plication:_surgical_techniques_and_early_outcomes_of_a_Chinese_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(13)00299-2 DB - PRIME DP - Unbound Medicine ER -