Scintigraphic evaluation of gastric emptying after greater curvature plication in comparison with sleeve gastrectomy

Document Type : Original Article

Authors

1 Department of General Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt

2 Department of Nuclear Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt

3 Department of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt

Abstract

Introduction: Laparoscopic gastric plication (LGP) is a relatively new restrictive bariatric procedure that emerged to avoid the problems and to reduce the cost of laparoscopic sleeve gastrectomy. In this study we present the initial short-term outcome of LGP and its effect on gastric emptying and compare it with the results of laparoscopic sleeve gastrectomy (LSG).
Methods: From May 2016 to April 2017, a total of 50 patients were allocated to undergo either LGP (n = 25) or LSG (n = 25). Data on the operative time, complications, hospital stay, overall cost of LSG and LGCP, body mass index loss (BMIL), post-operative gastric emptying (the first study to asses gastric emptying after LGP), percentage of excess weight loss (%EWL), and improvement of comorbidities were collected during the follow-up examinations.
Results:All procedures were completed laparoscopically. The mean operative time was significantly higher for the LGP group. The mean hospital stay, cost and %EWL were significantly higher in the LSG group. The mean gastric emptying t1/2 was 40 ± 13 minutes for LGP group and 28.3 ± 8.31 minutes for LSG group (P = 0.001).
Conclusion: There is significant acceleration of gastric emptying after LSG more than after LGP with significant effect on weight loss.

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References

  1. Toprak ŞS, Gültekin Y, Okuş A. Comparison of laparoscopic sleeve gastrectomy and laparoscopic gastric plication: One year follow-up results. Ulus Cerrahi Derg. 2015 Aug 18;32(1):18-22.‏
  2. Leşe M, Szasz A, Leşe I. Laparoscopic Gastric Plication - One Year of Bariatric Surgery in the Emergency County Hospital of Baia Mare. Chirurgia (Bucur). 2015 Sep-Oct;110(5):440-5.
  3. Müller V, Fikatas P, Gül S, Noesser M, Fuehrer KT, Sauer I, Pratschke J, Zorron R.  New technique for obesity surgery: internal gastric plication technique using intragastric single-port (IGS-IGP) in experimental model. Arq Bras Cir Dig. 2017 Jan-Mar;30(1):60-64.
  4. Pontiroli AE, Morabito A. Long-term prevention of mortality in morbid obesity through bariatric surgery. A systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg. 2011 Mar;253(3):484-7.
  5. Kandeel AA, Sarhan MD, Hegazy T, Mahmoud MM, Ali MH. Comparative assessment of gastric emptying in obese patients before and after laparoscopic sleeve gastrectomy using radionuclide scintigraphy. Nucl Med Commun. 2015 Aug;36(8):854-62.
  6. Chan YH. Biostatistics 102: quantitative data--parametric & non-parametric tests. Singapore Med J. 2003 Aug;44(8):391-6.
  7. Talebpour M, Motamedi SM, Talebpour A, Vahidi H. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012 Aug 22;6(1):7.
  8. Ramos A, Galvao Neto M, Galvao M, Evangelista LF, Campos JM, Ferraz A. Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure. Obes Surg. 2010 Jul;20(7):913-8.
  9. Brethauer SA, Harris JL, Kroh M, Schauer PR. Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2011 Jan-Feb;7(1):15-22.        
  10. Wang S, Li P, Sun XF, Ye NY, Xu ZK, Wang D. Comparison between laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding for morbid obesity: A meta-analysis. Obes Surg. 2013 Jul;23(7):980-6.
  11. Melissas J, Daskalakis M, Koukouraki S, Askoxylakis I, Metaxari M, Dimitriadis E, Stathaki M, Papadakis JA. Sleeve gastrectomy-a "food limiting" operation. Obes Surg. 2008 Oct;18(10):1251-6.

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