Novel bariatric technology: laparoscopic adjustable gastric banded plication: technique and preliminary results

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Chih-Kun HuangChi-Ming Tai

Abstract

The laparoscopic adjustable gastric band has been widely accepted as 1 of the safest bariatric procedures to treat morbid obesity. However, because of variations in the results and the complications that tend to arise from port adjustment, alternative procedures are needed. We have demonstrated, in a university hospital setting, the safety and feasibility of a novel technique, laparoscopic adjustable gastric banded plication, designed to improve the weight loss effect and decrease gastric band adjustment frequency. We enrolled 26 patients from May 2009 to August 2010. Laparoscopic adjustable gastric banded plication was performed using 5-port surgery. We placed Swedish bands using the pars flaccida method, divided the greater omentum, and performed gastric plication below the band to 3 cm from the pylorus using a single-row continuous suture. The data were collected and analyzed pre- and postoperatively. The mean operative time was 87.3 minutes without any intraoperative complications. The average postoperative hospitalization was 1.33 days. The mean excess weight loss at 1, 3, 6, 9, and 12 months after surgery was 21.9%, 31.9%, 41.3%, 55.2%, and 59.5%, respectively. The mean follow-up time was 8.1 months (range 2-15), and the ...Continue Reading

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Citations

Sep 11, 2012·Obesity Surgery·Tamer N AbdelbakiAlan A Saber
Sep 13, 2012·Obesity Surgery·Wilfred Lik-Man MuiBonnie Yuk San Tsung
Aug 3, 2013·Obesity Surgery·John B DixonPaul A Komesaroff
Sep 10, 2013·Obesity Surgery·Satish PattanshettiChih-Kun Huang
Jul 2, 2015·Obesity Surgery·Jasmeet Singh AhluwaliaChih-Kun Huang
May 18, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Po-Chih ChangChih-Kun Huang
Jun 22, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Anirudh VijChih-Kun Huang
Mar 1, 2012·Obesity Surgery·Kazunori KasamaPradeep Chowbey
Jul 13, 2019·Obesity Surgery·Mohit BhandariUNKNOWN and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:
May 24, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Vincenzo PilonePietro Forestieri
Apr 25, 2015·Asian Journal of Endoscopic Surgery·Akira UmemuraGo Wakabayashi
Feb 20, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Siyuan LiJiangjiao Zhou
Mar 26, 2013·Gastroenterology·Chi-Ming TaiChih-Kun Huang

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