Long-term results of laparoscopic gastric plication in obese patients (three-year follow-up)
DOI:
https://doi.org/10.22141/1997-2938.2.37.2018.147840Keywords:
gastric plication, bariatric surgery, obesity, metabolic syndromeAbstract
Background. The problem of overweight, obesity and diseases caused by them presents a new danger to humanity in the 21st century. According to World Health Organization data, since 1975, the average human weight is increased by 1.5 kg every 10 years. By 2016, the number of people with morbid obesity tripled compared to 1975. The main danger of obesity is the illness that it provokes. To study and analyze long-term results of laparoscopic gastric plication in obese patients for three years was the purpose of our work. Materials and methods. From November 2010 to March 2015, we performed 29 laparoscopic gastric plications in obese patients who were under 3 years of follow-up. The average preoperative weight was 131.0 ± 5.2 kg, body mass index — 45.5 ± 1.6 kg/m2, and the average excess weight was 65.8 ± 4.9 kg. Results. Duration of operation was from 90 to 140 minutes, with average of 114.0 ± 2.7 minutes. Average body mass index was 36.80 ± 1.05 % after 6 months, 33.90 ± 0.82 % after 1 year, and 32.80 ± 0.72 % after 3 years of follow-up. The percentage of average excess weight loss was 41.1 ± 0.3 % after 6 months, 54.3 ± 0.6 % after 1 year, and 58.0 ± 0.9 % after 3 years of follow-up. Conclusions. Comparing our data with literary sources, it can be argued that average excess weight loss one year after gastric plication is 55 %. This is more than in gastric banding, but less than in sleeve gastrectomy or gastric bypass. However, due to the absence of serious complications during gastric plication, it can be recommended for use. The absence of complications in patients after gastric plication associated with traumatic stomach serves as a powerful argument in favor of this operation. Our results and data from literary sources indicate the high efficiency of this surgical method and its safety in morbid obesity patients. In the future, only the accumulation of information about the results of gastric plication will determine its role and place among restrictive operations. It can be used as an independent operation, or as one of the stages of further combined surgical methods.
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