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Obes Surg. 2017 Nov;27(11):2818-2828. doi: 10.1007/s11695-017-2709-3.

Five-Year Outcomes: Laparoscopic Greater Curvature Plication for Treatment of Morbid Obesity.

Author information

1
First Faculty of Medicine, Charles University, Prague, Czech Republic. karinkorm@seznam.cz.
2
OB Klinika a.s, Pod Krejcarkem 975, 130 00, Prague 3, Czech Republic. karinkorm@seznam.cz.
3
Division of Scientific Research Writing, Medwrite Medical Communications, Maiden Rock, WI, USA.
4
General University Hospital, Prague, and Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic.
5
OB Klinika a.s, Pod Krejcarkem 975, 130 00, Prague 3, Czech Republic.
6
Statistical Analysis and Quality of Life Assessment, McGlennon MotiMetrics, Maiden Rock, WI, USA.
7
First Faculty of Medicine, Charles University, Prague, Czech Republic.

Abstract

BACKGROUND:

Laparoscopic greater curvature plication (LGCP) is a newer metabolic/bariatric surgical procedure that requires no resection, bypass, or implantable device. We report outcomes in a cohort of LGCP patients at 5-year follow-up.

METHODS:

Body mass index (BMI, kg/m2) evolution, excess weight loss (%EWL), excess BMI loss (%EBMIL), and total weight loss (%TWL) were recorded. Repeated measures analysis of variance (ANOVA) was used to assess BMI change over 5 years. Two-step cluster analysis was used to profile LGCP patients according to significant characteristics relative to successful 5-year weight loss.

RESULTS:

Of patients entering the study between 2010 and 2011 with complete weight data through 5-year follow-up (86.9%, 212/244), mean age was 45.8 ± 10.9 years; mean baseline BMI, 41.4 ± 5.5 (81.6% women); 58 patients (27.4%) had type 2 diabetes. Mean operative time was 69.0 min; mean hospitalization, 38 h (24-72). ANOVA indicated a significant BMI reduction out to 2 years (p < 0.001), a plateau at 3 and 4 years, and a moderate but significant BMI increase at 5 years (p < 0.01). EBMIL at 1, 2, 3, 4, and 5 years was as follows: 50.7 ± 9.1%, 61.5 ± 8.1%, 60.2 ± 7.0%, 58.5 ± 7.0%, and 56.8 ± 6.3%. At 5 years, 79.2% (168/212) of patients were successful; 20.8% (44/212) experienced a suboptimal weight outcome; mean weight regain, 9.2%. Cluster analysis identified four distinct LGCP patient profiles. Diabetes improvement rate was 65.5%. There were 12 reoperations (4.9%): 4 emergency (1.6%) and 8 (3.3%) elective. There was no mortality.

CONCLUSIONS:

At 5-year follow-up, LGCP proved to be safe and effective, with 56.8% EBMIL and a low rate of complications.

KEYWORDS:

Diabetes; LGCP; Laparoscopic greater curvature plication; Obesity

PMID:
28560523
DOI:
10.1007/s11695-017-2709-3
[Indexed for MEDLINE]

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