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Comparative Study Between Laparoscopic Adjustable Gastric Banded Plication and Sleeve Gastrectomy in Moderate Obesity—2 Year Results

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Abstract

Background

The traditional bariatric surgery guidelines issued by the National Institute of Health in 1991 did not include moderate obesity as an indication for bariatric surgery. These patients also develop risk of significant comorbidity and mortality. Nonsurgical treatment for them is not generally effective. This study compared the results of patients undergoing laparoscopic adjustable gastric banded plication (LAGBP) with laparoscopic sleeve gastrectomy (LSG) in patients with BMI between 30 and 35.

Methods

A review of data was done for patients who underwent either LAGBP or LSG in our hospital from February 2007 to October 2012. The inclusion criterion for both groups was BMI between 30 and 35 with or without comorbidity.

Results

One hundred thirty-nine patients were included in the study out of which 42 underwent LAGBP and 97 LSG. The operating time for LAGBP was significantly longer: 105.39 ± 39 vs. 59 ± 29.56 min. The postoperative hospital stay was not statistically different between the two procedures. The mean percent excess weight loss (%EWL) was significantly lower for LAGBP at 1 year but became insignificant at 2 years. Both groups had two postoperative complications, but the rate was not statistically different. The comorbidity resolution data did not show any significant difference between the two groups.

Conclusion

In the present study, both LAGBP and LSG seemed to be safe and effective bariatric procedures in moderate obesity with 2-year results. But the long-term results are still awaited.

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Grant Information

None.

Conflict of Interest

Jasmeet Singh Ahluwalia, Po-Chi Chang, Chi-Ming Tai, Ching-Chung Tsai, Po-Lin Sun, and Chih-Kun Huang declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

This is a retrospective study. For this type of study, formal consent is not required.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Indentifying Information

Participants’ identifying information is not available in the article.

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Authors and Affiliations

  1. Bariatric and Metabolic International (B.M.I.) Surgery Centre, E-Da Hospital, 1, E-Da Rd, Yan-Chau District, Kaohsiung City, Taiwan 824, Republic of China

    Jasmeet Singh Ahluwalia, Po-Chi Chang, Chi-Ming Tai, Ching-Chung Tsai, Po-Lin Sun & Chih-Kun Huang

  2. Department of General Surgery, E-Da Hospital, 1, E-Da Rd, Yan-Chau District, Kaohsiung City, Taiwan 824, Republic of China

    Po-Chi Chang & Chih-Kun Huang

  3. Department of Internal Medicine, E-Da Hospital, 1, E-Da Rd, Yan-Chau District, Kaohsiung City, Taiwan 824, Republic of China

    Chi-Ming Tai

  4. Department of Pediatrics, E-Da Hospital, 1, E-Da Rd, Yan-Chau District, Kaohsiung City, Taiwan 824, Republic of China

    Ching-Chung Tsai

  5. Department of Radiology, E-Da Hospital, 1, E-Da Rd, Yan-Chau District, Kaohsiung City, Taiwan 824, Republic of China

    Po-Lin Sun

Authors
  1. Jasmeet Singh Ahluwalia
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  2. Po-Chi Chang
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  3. Chi-Ming Tai
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  4. Ching-Chung Tsai
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  5. Po-Lin Sun
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  6. Chih-Kun Huang
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Corresponding author

Correspondence to Chih-Kun Huang.

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E-Da Hospital, 1, E-Da Rd, Yan-Chau District, Kaohsiung City, Taiwan 824, Tel: +886-7-6150011

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Ahluwalia, J.S., Chang, PC., Tai, CM. et al. Comparative Study Between Laparoscopic Adjustable Gastric Banded Plication and Sleeve Gastrectomy in Moderate Obesity—2 Year Results. OBES SURG 26, 552–557 (2016). https://doi.org/10.1007/s11695-015-1791-7

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  • DOI: https://doi.org/10.1007/s11695-015-1791-7

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