Objectives: This method aims at comparing results of the GASTROPLASTY with partial stomach PLICATION (GP) to the sleeve’s and bypass’ ones regarding slimming, morbidity and mortality.
GP: On a 22-yearlong series, from March 1996 to February 2018, results evaluated until July 15th, 2017.
Introduction: Method: Reversible, non-invasive and adjustable
- GP. Band place via rear gastric access. Release of the gastric fundus
Band secured with sero-gastric stitches on the oesophageal muscle, anterior valve confection 6-7 stitches. The stomach partial plication reduces the gastric cavity below the band. The lower part of the front wall of the oesophagus is entirely stripped of fat and vascular and nervous branches of the left vagus nerve. Gastric evacuation is slowed down.
- This interior valve stimulates the nervous systems of satiety (O’BRIEN) abdominal oesophageal wall.
Combined with
Materials / method: multidisciplinary support provided by medical and surgical teams comprising nutritionists, psychiatrists and psychoanalysts, strongly focusing on psychological factors and the sport practice.
- Inflations and deflations of the band performed by the surgeon in radiology, judging by himself the band functioning, the weight loss, the adaptation and acceptance of the band by the patient (according to the weight loss).
Results: 1.102 patients with an average BMI of 42,7.
- Ratio 9,7 men per 100
- BMI extremes: 35 versus 59
- Average : 35,1 years – extremes: 35 versus 59
-Extremes 18- 68 yo
Results: AVERAGE LOSS EXCESS WEIGHT
- 18 months: 66,8%
- 5 years: 65,1% on 1.061 patients
- 10 ": 60,3% on 689 "
- 12 " : 100% on 240 "
- 15 " : 59,8% on 554 "
- Rerun with a band change due to dilatation: IDENTICAL RESULT
OPERATING MORTALITY = 0++
Complications: LOW POST-OPERATIVE MORBIDITY
- 4 non-serious pulmonary embolisms
- 5 phlebitis
regressive
- 6 reoperations . Removal of the band due to infection; 2 oesophagus sutures; and 2 total gastrectomie.
17 gastric erosions with band removal;
Gastric dilatation: 22 patients ,7 operated beforehand – requiring re-operation due to dilatation
Conclusion: GP: very acceptable morbidity; mortality=0; very inferior compared to Sleeve, Bypass
Similar slimming on short, medium long term; without deficiencies; very superior living quality.
Very satiety; Importance: psychological support
Active patient
GP: very low morbidity, mortality=0, slimming similar on the short, medium and long terms, superior living quality with a 22-year perspective
Pre and post-operative follow-up as important the surgery itself
GP: very low morbidity, mortality=0, slimming results similar on short,medium long terms,superior living quality,compared to sleeve bypass
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