Laparoscopic adjustable gastric banded plication: case-matched study from a single U.S. center

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Metabolic and Bariatric Surgery

Background:

• Laparoscopic adjustable gastric banded plication (LAGBP) is an emerging surgical technique for obesity management.
• This study assesses the safety and short-term outcomes of LAGBP within a United States academic medical center.

Purpose of the Study:

• To evaluate the safety and efficacy of LAGBP in a U.S. patient population.
• To compare LAGBP outcomes against established bariatric procedures: laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG).

Main Methods:

• Retrospective review of patients who underwent LAGBP between 2012 and 2013.
• Case-matched comparison with LAGB and LSG cohorts based on demographics, preoperative BMI, and follow-up metrics.
• Analysis included operative time, blood loss, hospital stay, band adjustments, and percent excess weight loss (%EWL).

Main Results:

• Seventeen patients underwent LAGBP; no perioperative deaths were reported.
• LAGBP showed a mean operative time of 72 minutes and a 1.1-day hospital stay.
• %EWL at 12 months was 46.1% for LAGBP, compared to 38.9% for LAGB and 57.7% for LSG.

Conclusions:

• LAGBP is a technically feasible and safe bariatric procedure.
• One-year weight loss results for LAGBP fall between those of LAGB and LSG.
• This study represents the largest U.S. series comparing LAGBP to traditional weight loss surgeries.