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Obesity Surgery

, Volume 27, Issue 1, pp 38–43 | Cite as

Revisional Surgery Following Laparoscopic Gastric Plication

  • Carlos Zerrweck
  • José G. RodríguezEmail author
  • Elmo Aramburo
  • Rafael Vizcarra
  • José L. Rodríguez
  • Andrea Solórzano
  • Hernán G. Maydón
  • Elisa M. Sepúlveda
Original Contributions

Abstract

Background

The laparoscopic gastric plication (LGP) is a relative new bariatric procedure that has gained popularity over the last few years, but no real consensus exists and the evidence is unclear, especially in its real efficacy, safety, and durability.

Methods

Retrospective study analyzing the records patients submitted to LGP between 2009 and 2010. The primary objective was to describe the characteristics and outcomes of patients submitted to revisional surgery. Baseline data and evolution were obtained and analyzed. Surgical analysis included revision cause, perioperative outcome, type of surgery, complications, and weight loss after 18 months. A comparison between gastric bypass and sleeve gastrectomy was performed.

Results

One hundred LGP were performed. After a mean time of 13.5 months, 42 patients presented an overall excess weight loss (EWL) <50 % and 38 had severe symptoms. Thirty patients accepted revisional surgery with BMI before conversion of 38.6 ± 4.2 kg/m2. There were 17 laparoscopic sleeve gastrectomy (LSG) and 13 laparoscopic gastric bypass (LGBP) with comparable preoperative characteristics. The LSG group had lower pneumoperitoneum time and less hospital stay. At 18 months, the LGBP group had lower BMI (24.1 ± 1.1 vs. 25.8 ± 1.3 kg/m2 for the LSG; p = 0.006) and higher %EWL (75.7 ± 16.1 vs. 61.4 ± 14.5 % for the LSG; p = 0.008).

Conclusion

In our series, LGP presented a high failure rate and an increased number of symptomatic patients. Revisional surgery proved to be safe and effective. Revision to LSG was faster and had less hospital stay. Revision to LGBP showed better %EWL at 18 months.

Keywords

Laparoscopic gastric plication Laparoscopic greater curve plication Laparoscopic gastric bypass Laparoscopic sleeve gastrectomy Revisional surgery Conversion surgery Surgical failure 

Notes

Compliance with Ethical Standard

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

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

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Carlos Zerrweck
    • 1
  • José G. Rodríguez
    • 2
    Email author
  • Elmo Aramburo
    • 2
  • Rafael Vizcarra
    • 2
  • José L. Rodríguez
    • 2
  • Andrea Solórzano
    • 2
  • Hernán G. Maydón
    • 1
  • Elisa M. Sepúlveda
    • 1
  1. 1.The Obesity Clinic at “Hospital General Tláhuac”Mexico CityMexico
  2. 2.The Obesity Clinic at “Star Médica Hospital”City of JuárezMexico

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