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Short-term outcomes of laparoscopic gastric plication in morbidly obese patients: Importance of postoperative follow-up

Niazi, M. and Maleki, A.R. and Talebpour, M. (2013) Short-term outcomes of laparoscopic gastric plication in morbidly obese patients: Importance of postoperative follow-up. Obesity Surgery, 23 (1). pp. 87-92. ISSN 09608923 (ISSN)

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Demand for feasible, safe, and preferably low-cost methods of weight reduction is rising every day. The present study reports findings from laparoscopic gastric plication (LGP), which is a new restrictive bariatric technique, combined with a postoperative follow-up program. A 2-year prospective study was performed following LGP in 53 female morbidly obese patients from Gorgan, Iran, with a mean age of 36.3 years and mean body mass index (BMI) of 42.6 kg/m2 (35.3-62.4). Through a four-port approach, the greater omentum and short gastric vessels were transected and the greater curvature was imbricated into the body of the stomach with two rows of nonabsorbable sutures. After surgery, all patients were scheduled to attend a weekly group meeting for behavioral modification and psychotherapy. The mean operative time and hospital stay was 95 min and 72 h, respectively. No intraoperative complications occurred. Mean percentages of excess weight loss (%EWL) were 25.6 %, 54.2 %, 70.2 %, and 74.4 % after 1, 6, 12, and 24 months, respectively. Six patients lost >84 % of their excess weight after 24 months. Patients who did not participate in the group meetings had a lower %EWL after 12 (79.5 % vs. 55.6 %) and 24 months (90 % vs. 43.4 %) compared with the patients who regularly participated in the group meetings (P < 0.005). LGP is a feasible, safe, and effective surgical method for weight loss for at least 24 months when performed on morbidly obese patients. Postoperative group meetings (POGM) for psychotherapy and behavioral modification helped patients to achieve better results. © 2012 Springer Science + Business Media, LLC.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - Obes. Surg. [Field not mapped to EPrints] C2 - 23007660 [Field not mapped to EPrints] AD - Department of General Surgery, Golestan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] AD - Department of General Surgery, Falsafi Educational Campus, Shaskalate, Golestan University of Medical Sciences, 5th km Gorgan, Tehran Rd., Gorgan, Iran [Field not mapped to EPrints] AD - Laparoscopic Surgical Ward, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Bariatric surgery, Gastric plication, Morbid obesity, Postoperative follow-up, adult, anthropometric parameters, article, bariatric surgery, behavior modification, body mass, clinical effectiveness, controlled clinical trial, controlled study, excess weight loss precentage, feasibility study, female, follow up, human, laparoscopic gastric plication, length of stay, major clinical study, morbid obesity, operation duration, outcome assessment, patient safety, pilot study, postoperative care, postoperative complication, priority journal, prospective study, psychotherapy, quality of life, surgical approach, surgical technique, weight reduction, Adult, Body Mass Index, Female, Follow-Up Studies, Gastroplasty, Humans, Iran, Laparoscopy, Length of Stay, Male, Obesity, Morbid, Pilot Projects, Postoperative Period, Prospective Studies, Quality of Life, Questionnaires, Treatment Outcome, Weight Loss
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
موارد کلی
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 19 Apr 2015 07:04
Last Modified: 10 May 2015 10:07
URI: http://eprints.goums.ac.ir/id/eprint/1915

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