Galván-Araiza HG, Cordero-Abadía JH, Prieto-Aldape R, Fuentes-Orozco C, González-Ojeda A, Lepe-Amdán Y, Hernández-Corona DM, Chávez-Tostado M

Language: Spanish
References: 22
Page: 12-18
PDF size: 241.84 Kb.

ABSTRACT

Introduction: Laparoscopic gastric plicature (LGP) is an emerging bariatric procedure considered effective and safe for weight loss. Objective: To determine the percentage of excess of weight loss (%EWL), BMI, percentage of excess of BMI loss (%EBMI), and postoperative morbidity and mortality in a five-year follow-up of patients submitted to LGP. Material and methods: Analytical study based on the data of case files of patients who underwent LGP during 2012, with a five-year follow-up, and evaluations at three, six, 12, 36 and 60 postoperative months. Results: A total of 40 patients were included, with a mean age of 36.2 ± 8.2 years; preoperative weight and BMI were 105.8 ± 18.9 kg and 39.2 ± 5.5 kg/m², respectively. The %EWL was of 60.3% after one year, and 51.8% after 60 postoperative months. Weight, BMI, %EWL, and loss of excess BMI (% EBMI) were statistically significant in contrast to preoperative measures (p ‹ 0.001). No changes were observed from 12 to 36 postoperative months. A significant regain of weight was observed from 36 to 60 postoperative months. Three reinterventions were required because of internal bleeding, and two conversions to Roux-en-Y gastric bypass. Conclusion: LGP is an effective bariatric procedure for weight loss, with an important % EWL observed after five years post-surgery.

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