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Obesity Surgery

, Volume 29, Issue 1, pp 246–251 | Cite as

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

  • Helmuth Billy
  • Amit Surve
  • Ryan Fairley
  • Daniel CottamEmail author
  • Austin Cottam
  • Hinali Zaveri
  • Samuel Cottam
Original Contributions

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.

Keywords

LAGBP LAGB Laparoscopic adjustable band with plication Imbrication Greater curve plication Bariatric 

Notes

Compliance with Ethical Standards

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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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Ventura Advanced Surgical AssociatesVenturaUSA
  2. 2.Bariatric Medicine InstituteSalt Lake CityUSA

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