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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.There was no conversion to open surgery and no mortality.The ability to reliably perform greater curve plication as an outpatient surgery may further define its role as an additional weight loss surgery technique.

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

Average percentage of body weight loss and excess body weight loss (EBWL) over time (n = number of all 141 patients presenting during the specific time interval).
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Figure 2: Average percentage of body weight loss and excess body weight loss (EBWL) over time (n = number of all 141 patients presenting during the specific time interval).

Mentions: In the 12-month period after surgery, 15 of the 30 patients (50%) who presented on prescription medications for diabetes and 25 of 57 (44%) who presented on prescription medications for hypertension reported a decrease in or discontinuation of medication. The percentage of body weight loss is shown in Figure 2.


Laparoscopic Greater Curve Plication as an Outpatient Weight Loss Procedure.

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

Average percentage of body weight loss and excess body weight loss (EBWL) over time (n = number of all 141 patients presenting during the specific time interval).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Average percentage of body weight loss and excess body weight loss (EBWL) over time (n = number of all 141 patients presenting during the specific time interval).
Mentions: In the 12-month period after surgery, 15 of the 30 patients (50%) who presented on prescription medications for diabetes and 25 of 57 (44%) who presented on prescription medications for hypertension reported a decrease in or discontinuation of medication. The percentage of body weight loss is shown in Figure 2.

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.There was no conversion to open surgery and no mortality.The ability to reliably perform greater curve plication as an outpatient surgery may further define its role as an additional weight loss surgery technique.

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