عملية طي المعدة بالجراحة التنظيرية لمعالجة البدانة في سورية : التكنيك و النتائج

الملخص EN

Background &Objective: Laparoscopic Gastric Plication (LGP) is a new restrictive bariatric surgery that emerged to reduce the cost of more popular restrictive procedures particularly laparoscopic sleeve gastrectomy.

The aim of this study is to present our experience, surgical technique and outcomes of LGP for treating morbidly obese Syrian patients.

Methods & Material: A prospective study was carried out, following a laparoscopic gastric plication technique and was applied on 96 morbidly obese patients between February 2011 and September 2014.

There were 14 men and 82 women, with a mean age of 29.7 years (range18–65 years) and a mean body mass index of 39.5kg/m2 (range 32–49 kg/m2) superscripted .

Results: All procedures were completed laparoscopic ally, There were no deaths, no conversion to laparotomy.

Mean operative time was 75 min (50 to 155 min) and mean hospital stay was 31 h (24 to 96 h) .5 patients were readmitted.

Patients returned to their regular activities at an average of 7 days (4 to 25 ) following surgery .Percent excess weight loss was 60% , 65% , 70% , 67% , 66% and 65% at 6, 12, 18, 2 4, 30 and 36 months respectively.

3% , 4% and 7.3% of the cases complained from weight regain respectively during12, 24 and 36 months after LGP.

Other complications included pneumonia, self-limiting intraabdominal bleeding, vomiting, acute renal failure, and pulmonary emboli.

Conclusions: LGP is feasible, safe, effective, and well tolerated.

With a low frequency of major problems.

The percentage of EWL in this technique is comparable to other restrictive methods .The cost of operation is less than the other methods.