LAPAROSCOPIC GASTRIC PLICATION – OUR EXPERIENCE

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Article Title:	LAPAROSCOPIC GASTRIC PLICATION – OUR EXPERIENCE
Authors:	C. Duta1, Carmen Neamtu2* Dana Barjica1, A.Dobrescu1, C. Lazar1, F.Lazar1, B. Totolici2
Affiliation:	1„ Victor Babes” University of Medicine and Pharmacy Timisoara, Second Surgical Clinic, Timisoara, Romania 2„Vasile Goldiş” Western University of Arad – Faculty of Medicine, Pharmacy and Dental Medicine, Arad, Romania
Abstract:	Laparoscopic gastric plication is a bariatric procedure relatively recently introduced in the therapeutic arsenal of morbid obesity. First mentioned in 2007 by Talebpour (Talebpour M et al., 2007), it became more popular as bariatric procedure among patients who want a reversible bariatric procedure with good results on weight loss. Not involving stomach cutting, as well as longitudinal gastrectomy, gastric plication has much lower costs, which is another aspect appreciated by patients. We performed this technique for the first time in June 2009 and the results are very good. The study group included 39 patients and covers the period June 2009 – December 2012. 35 interventions were performed in the Surgery Clinic II of County Hospital in Timisoara, the remaining 4 in a private health service. The preponderance is in favor of women – with a women / men ration of 2 / 1. Mean age is 36.3 years (range between 25 – 58 years). Mean postoperatory follow up period is of 12 months for 87% of patients. Postoperative complications – vomiting – we had 12 cases – all with favorable outcomes under conservative treatment. No other intra and postoperative complications. Simultaneously in two patients laparoscopic treatment was performed for incisional abdominal hernia and in one patient a gastric band removal and a laparoscopic gastric plication after gastric band removal. Remission rate of comorbidities was 40% for diabetes mellitus type II and all 15 cases of hypertension were controlled with less medication. Mortality was 0. Excessive weight loss on 1 month – 63.5%, on 3 months – 69.2%, on 6 months – 71.5% and on 12 months – 70.8%. Although it is a new bariatric procedure, immediate results on weight loss and on remission of comorbidities is good. For long term results, we need a longer follow-up of cases.
Keywords:	Laparoscopic gastric plication – LGP, diabetes mellitus – DM, arterial hypertension – AHT.
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*Correspondence:	Carmen Neamtu Str. Gradinarilor Nr.43 Arad, Romania Mobile: 0723225793 Mail: carmen.neamtu@gmail.com