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Weight Loss Outcomes of Laparoscopic Adjustable Gastric Band with Plication: a Single Center Experience of 66 Patients with 18-Month Follow-Up

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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.

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References

  1. Wilkinson LH, Peloso OA. Gastric (reservoir) reduction for morbid obesity. Arch Surg. 1981;116(5):602–5.

    Article  CAS  PubMed  Google Scholar 

  2. Talebpour M, Motamedi SM, Talebpour A, et al. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012;6(1):7.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Skrekas G, Antiochos K, Stafyla V. Laparoscopic gastric greater curvature plication: results and complications in a series of 135 patients. Obes Surg. 2011;21:1657–63.

    Article  PubMed  Google Scholar 

  4. Atlas H, yazbek T, Garneau PY, et al. Is there a future for laparoscopic gastric greater curvature plication (LGGCP)? A review of 44 patients. Obes Surg. 2013;23:1397–403.

    Article  PubMed  Google Scholar 

  5. Sharma S, Narwaria M, Cottam DR, et al. Randomized double-blinded trial of laparoscopic gastric imbrication v laparoscopic sleeve gastrectomy at a single Indian institution. Obes Surg. 2015;25:800–4.

    Article  PubMed  Google Scholar 

  6. Hussain A, Mahmood H, El-Hasani S. Gastric plication can reduce slippage rate after laparoscopic gastric banding. JSLS. 2010;14(2):221–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Surve A, Zaveri H, Cottam D, Richards C, Cottam S, Cottam A. Laparoscopic adjustable gastric banding versus laparoscopic adjustable gastric banding with gastric plication: midterm outcomes in terms of weight loss and short term complications. Surg Obes Relat Dis. 2016.

  8. Brethauer S, Harris J, Kroh M, et al. Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2011;7(1):15–22.

    Article  PubMed  Google Scholar 

  9. O'Brien P. Laparoscopic adjustable gastric banding in the treatment of morbid obesity. Arch Surg. 2003;138(4):376–82.

    Article  PubMed  Google Scholar 

  10. Suter M, Calmes JM, Paroz A, et al. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg. 2006;16:827–35.

    Article  Google Scholar 

  11. Van Wageningen B, Berends FJ, van Ramshorst B, et al. Revision of failed laparoscopic adjustable gastric banding to Rouxen-Y gastric bypass. Obes Surg. 2006;16:137–41.

    Article  PubMed  Google Scholar 

  12. Lomanto D, Lee WJ, Goel R, et al. Bariatric surgery in Asia in the last 5 years (2005–2009). Obes Surg. 2012;22:502–6.

    Article  PubMed  Google Scholar 

  13. Carandina S, Tabbara M, Galiay L, Polliand C, Azoulay D, Barrat C et al. Long-term outcomes of the laparoscopic adjustable gastric banding: weight loss and removal rate. A single center experience on 301 patients with a minimum follow-up of 10 years. Obes Surg. 2016.

  14. Spivak H, Abdelmelek MF, Beltran OR, et al. Longterm outcomes of laparoscopic adjustable gastric banding and laparoscopic roux-en-Y gastric bypass in the United States. Surg Endosc. 2012;26:1909–19.

    Article  PubMed  Google Scholar 

  15. Alhamdani A, Wilson M, Jones T, et al. Laparoscopic adjustable gastric banding: a 10-year single-center experience of 575 cases with weight loss following surgery. Obes Surg. 2012;22:1029–38.

    Article  CAS  PubMed  Google Scholar 

  16. O’Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery fifteen-year follow-up of adjustable gastric banding and systematic review of the bariatric surgical literature. Ann Surg. 2013;257:87–94.

    Article  PubMed  Google Scholar 

  17. Huang C, Lo C, Shabbir A, et al. Novel bariatric technology: laparoscopic adjustable gastric banded plication: technique and preliminary results. Surg Obes Relat Dis. 2012;8(1):41–5.

    Article  PubMed  Google Scholar 

  18. Ahluwalia J, Kuo H, Chang P, et al. Standardized technique of laparoscopic adjustable gastric banded plication with 4-year results. Obes Surg. 2015;25(9):1756–7.

    Article  PubMed  Google Scholar 

  19. Lee W, Lee K, Ser K, et al. Laparoscopic adjustable gastric banding (LAGB) with gastric plication: short-term results and comparison with LAGB alone and sleeve gastrectomy. Surg Obes Relat Dis. 2015;11(1):125–30.

    Article  CAS  PubMed  Google Scholar 

  20. Chaudhry U, Osayi S, Suzo A, et al. Laparoscopic adjustable gastric banded plication: case-matched study from a single U.S. center. Surg Obes Relat Dis. 2015;11(1):119–24.

    Article  PubMed  Google Scholar 

  21. Huang C, Chhabra N, Goel R, et al. Laparoscopic adjustable gastric banded plication: a case-matched comparative study with laparoscopic sleeve Gastrectomy. Obes Surg. 2013;23(8):1319–23.

    Article  PubMed  Google Scholar 

  22. Cottam D. Comment on: laparoscopic adjustable gastric banding with gastric placation: short-term results and comparison with LAGB alone and sleeve gastrectomy. Surg Obes Relat Dis. 2015;11(1):131.

    Article  PubMed  Google Scholar 

  23. Andraos Y, Ziade D, Achcouty R, et al. Early complications of 120 laparoscopic greater curvature plication procedures. Bariatr Times. 2011;8:10–5.

    Google Scholar 

  24. Gagner MBuchwald J. Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review. Surg Obes Relat Dis. 2014;10(4):713–23.

    Article  Google Scholar 

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Authors and Affiliations

  1. Ventura Advanced Surgical Associates, 3200 Telegraph Rd, Ventura, CA, 93003, USA

    Helmuth Billy & Ryan Fairley

  2. Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA

    Amit Surve, Daniel Cottam, Austin Cottam, Hinali Zaveri & Samuel Cottam

Authors
  1. Helmuth Billy
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  2. Amit Surve
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  3. Ryan Fairley
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  4. Daniel Cottam
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  5. Austin Cottam
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  6. Hinali Zaveri
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  7. Samuel Cottam
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Corresponding author

Correspondence to Daniel Cottam.

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Conflict of Interest

Daniel Cottam, the corresponding author reports personal fees and other from Medtronic, outside the submitted work.

All other authors have no conflicts of interest to declare.

Statement of Human and Animal Rights

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

Since this is a retrospective study: formal consent is not required for this type of study.

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Billy, H., Surve, A., Fairley, R. et al. Weight Loss Outcomes of Laparoscopic Adjustable Gastric Band with Plication: a Single Center Experience of 66 Patients with 18-Month Follow-Up. OBES SURG 29, 246–251 (2019). https://doi.org/10.1007/s11695-018-3512-5

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  • DOI: https://doi.org/10.1007/s11695-018-3512-5

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