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



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.


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).


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%.


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.


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


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.


  1. 1.
    Wilkinson LH, Peloso OA. Gastric (reservoir) reduction for morbid obesity. Arch Surg. 1981;116(5):602–5.CrossRefGoogle Scholar
  2. 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.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 6.
    Hussain A, Mahmood H, El-Hasani S. Gastric plication can reduce slippage rate after laparoscopic gastric banding. JSLS. 2010;14(2):221–7.CrossRefGoogle Scholar
  7. 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.Google Scholar
  8. 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.CrossRefGoogle Scholar
  9. 9.
    O'Brien P. Laparoscopic adjustable gastric banding in the treatment of morbid obesity. Arch Surg. 2003;138(4):376–82.CrossRefGoogle Scholar
  10. 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.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. 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.Google Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.CrossRefGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. 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. 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.CrossRefGoogle Scholar

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

Personalised recommendations