ANALYSIS OF LONG-TERM RESULTS OF OBESITY IN PATIENTS AFTER LAPAROSCOPIC GASTRIC PLICATION
DOI:
https://doi.org/10.11603/2415-8798.2019.1.10016Keywords:
gastric plication, obesity, metabolic syndrome, diabetes mellitusAbstract
Obesity is a greater danger to human health in the 21st century. According to WHO data, in 2016 1.9 billion people had overweight and 600 million among them were obese. Bariatric surgery is the most effective method for obesity treatment with good long-term results.
The aim of the study – to learn and analyze the results of laparoscopic gastric plication in patients with obesity and metabolic syndrome from our clinic.
Materials and Methods. From November 2010 to September 2017 we performed 79 laparoscopic gastric plications.
We performed the operation of laparoscopic gastric plicatiion in accordance with the methodology described by Professor Telebpour.
Results and Discussion. We performed surgery in 54 (68.5 %) women and 25 (31.5 %) men. Female to male ratio was 1: 0.46. The age of patients was in the range from 21 to 68 years, mean – (46.8±1.3) years.
There were no lethal cases and intraoperative complications in our group of patients. Blood loss during surgery was from 25 to 140 ml. Mean intraoperative blood loss was (63.6±2.9) ml.
Time of surgery was from 74 to 140 minutes. Mean surgery time (M ± m) was (101.9±1.93) minutes.
Mean patients body weight before surgery was (119.5±3.3) kg. Six months after gastric plication, mean weight decreased to (100.2±2.4) kg. One year after gastric plication, mean weight of patients was (92.7±2.0) kg. 3 years after surgery mean patients weight was (91.5±2.0) kg. 5 years after surgery mean weight was (95.4±3.3) kg, and (90.5±1.5) kg 7 years after gastric plication.
The mean preoperative BMI in patients was (41.91±0.95) kg/m2. Six months after gastric plication mean BMI was (34.81±0.67) kg/m2. One year after surgery mean BMI was (32.49±0.63) kg/m2. 3 years after gastric plication mean BMI (32.04±0.61) kg/m2. 5 years surgery mean BMI in patients was (33.92±0.97) kg/m2 and (33.18±2.75) kg/m2 after 7 years.
Six months after gastric plication mean %EWL (39.6±0.47) %. 1 year after surgery mean %EWL was (52.3±0.61) %. 3 years after surgery mean %EWL was (56.5±0.68) %. After five years mean %EWL was (58.3±1.3) % and (51.2±1.6) % after 7 years.
Conclusions. Comparing literature data and our results we can make conclusion that laparoscopic gastric plication leads to satisfactory EWL. Laparoscopic gastric plication is safer comparing to other bariatric surgeries. Literature data and our results shows positive effect of laparoscopic gastric plication in treatment of type II diabetes mellitus. We should conduct further study of gastric plication mechanism for treatment type 2 diabetes mellitus.
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