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Laparoscopic Greater Curve Plication as an Outpatient Weight Loss Procedure.

Waldrep DJ, Pacheco I - JSLS (2015 Jul-Sep)

Bottom Line: Cost savings and affordability have also been promoted, as plication does not require the use of stapling devices, adjustable gastric bands, or prolonged hospitalization.Outcomes including perioperative complications, incidental 12-month follow-up for weight loss, and change in diabetic and hypertensive medication are reported.There was no conversion to open surgery and no mortality.

View Article: PubMed Central - PubMed

Affiliation: CURE Center, Thousand Oaks, California.

ABSTRACT

Background and objectives: Laparoscopic greater curve plication is emerging as a weight loss procedure that avoids many of the complications of other surgeries that require gastrointestinal division, amputation, or use of a foreign body. Cost savings and affordability have also been promoted, as plication does not require the use of stapling devices, adjustable gastric bands, or prolonged hospitalization. The ability to predictably perform plication as an outpatient surgery may further define its role as a therapeutic option for treating morbid obesity. We present the 30-day outcomes and supplementary 12-month data in a series of 141 laparoscopic greater curve plication surgeries performed as outpatient procedures.

Methods: Laparoscopic greater curve plication was performed as outpatient surgery in 141 consecutive patients. Outcomes including perioperative complications, incidental 12-month follow-up for weight loss, and change in diabetic and hypertensive medication are reported.

Results: Of the 141 plications performed, 138 patients were discharged from the recovery room and 6 were readmitted. There was no conversion to open surgery and no mortality.

Conclusions: The ability to reliably perform greater curve plication as an outpatient surgery may further define its role as an additional weight loss surgery technique.

No MeSH data available.


Related in: MedlinePlus

Completed greater curve plication.
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Figure 1: Completed greater curve plication.

Mentions: A 5-port (5 and 8 mm) laparoscopic approach was used. The gastrocolic ligament was opened with a harmonic-energy device starting approximately 6 cm proximal to the pylorus and extending to within 2 cm of the left crus of the diaphragm. The greater curve of the stomach was imbricated in layers with interrupted seromuscular nonresorbable sutures (Figure 1). A calibration tube was advanced from the esophagus above the plication to the antrum below the plication to assess resistance and gastric luminal patency. No leak tests, upper endoscopy, or drains were used.


Laparoscopic Greater Curve Plication as an Outpatient Weight Loss Procedure.

Waldrep DJ, Pacheco I - JSLS (2015 Jul-Sep)

Completed greater curve plication.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4589905&req=5

Figure 1: Completed greater curve plication.
Mentions: A 5-port (5 and 8 mm) laparoscopic approach was used. The gastrocolic ligament was opened with a harmonic-energy device starting approximately 6 cm proximal to the pylorus and extending to within 2 cm of the left crus of the diaphragm. The greater curve of the stomach was imbricated in layers with interrupted seromuscular nonresorbable sutures (Figure 1). A calibration tube was advanced from the esophagus above the plication to the antrum below the plication to assess resistance and gastric luminal patency. No leak tests, upper endoscopy, or drains were used.

Bottom Line: Cost savings and affordability have also been promoted, as plication does not require the use of stapling devices, adjustable gastric bands, or prolonged hospitalization.Outcomes including perioperative complications, incidental 12-month follow-up for weight loss, and change in diabetic and hypertensive medication are reported.There was no conversion to open surgery and no mortality.

View Article: PubMed Central - PubMed

Affiliation: CURE Center, Thousand Oaks, California.

ABSTRACT

Background and objectives: Laparoscopic greater curve plication is emerging as a weight loss procedure that avoids many of the complications of other surgeries that require gastrointestinal division, amputation, or use of a foreign body. Cost savings and affordability have also been promoted, as plication does not require the use of stapling devices, adjustable gastric bands, or prolonged hospitalization. The ability to predictably perform plication as an outpatient surgery may further define its role as a therapeutic option for treating morbid obesity. We present the 30-day outcomes and supplementary 12-month data in a series of 141 laparoscopic greater curve plication surgeries performed as outpatient procedures.

Methods: Laparoscopic greater curve plication was performed as outpatient surgery in 141 consecutive patients. Outcomes including perioperative complications, incidental 12-month follow-up for weight loss, and change in diabetic and hypertensive medication are reported.

Results: Of the 141 plications performed, 138 patients were discharged from the recovery room and 6 were readmitted. There was no conversion to open surgery and no mortality.

Conclusions: The ability to reliably perform greater curve plication as an outpatient surgery may further define its role as an additional weight loss surgery technique.

No MeSH data available.


Related in: MedlinePlus