Our Summary
This research paper is about a study conducted on a weight loss surgical procedure called laparoscopic gastric plication (LGP). The study took place between 2009 and 2010, analyzing the medical records of patients who had undergone LGP. The main goal was to understand the characteristics and outcomes of patients who subsequently had to undergo revisional surgery (a second surgery to fix or revise the initial one). The study looked at a range of factors including the reasons for the revision, surgical outcomes, types of surgery, complications, and weight loss after 18 months.
The study found that out of 100 patients who had the LGP procedure, 42 had less than 50% of excess weight loss and 38 had severe symptoms. Of these, 30 agreed to have revisional surgery. The study compared two types of revisional surgeries: laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LGBP).
The results showed that patients who had LSG as revision surgery had a shorter operation time and less hospital stay. However, those who had LGBP had a lower BMI and lost a higher percentage of their excess weight after 18 months.
In conclusion, the study found that the LGP procedure had a high failure rate and led to an increased number of patients with severe symptoms. Revisional surgery was found to be safe and effective. While LSG was quicker and required a shorter hospital stay, LGBP resulted in better weight loss results after 18 months.
FAQs
- What was the main goal of the study on laparoscopic gastric plication (LGP)?
- What were the findings of the study regarding laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LGBP) as revisional surgeries?
- What was the conclusion of the study regarding the effectiveness and safety of revisional surgery after an LGP procedure?
Doctor’s Tip
One helpful tip a doctor might tell a patient about gastric sleeve surgery is to discuss the possibility of revisional surgery in case the initial procedure does not lead to the desired weight loss outcomes. It is important for patients to be aware of the potential need for a second surgery and to understand the differences between options such as laparoscopic sleeve gastrectomy and laparoscopic gastric bypass as revisional surgeries. Additionally, patients should be informed about the risks, benefits, and expected outcomes of revisional surgery to make an informed decision about their weight loss journey.
Suitable For
Patients who are typically recommended for gastric sleeve surgery, such as LGP, are those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as diabetes, high blood pressure, or sleep apnea. These patients have typically tried other weight loss methods without success and are considered to be good candidates for bariatric surgery. Additionally, patients who have a commitment to making lifestyle changes and are willing to follow a strict post-operative diet and exercise regimen are also recommended for gastric sleeve surgery.
Timeline
Overall, the timeline for a patient undergoing gastric sleeve surgery typically involves the following steps:
Pre-surgery preparation: Patients will undergo a series of evaluations, tests, and consultations with healthcare professionals to determine if they are a suitable candidate for gastric sleeve surgery. This may include a psychological evaluation, dietary counseling, and discussions about the potential risks and benefits of the procedure.
Surgery: The gastric sleeve surgery itself is typically performed laparoscopically, meaning it is minimally invasive and involves making small incisions in the abdomen. During the surgery, a portion of the stomach is removed, leaving a smaller, sleeve-shaped stomach. The surgery typically takes around 1-2 hours to complete.
Hospital stay: After the surgery, patients will typically need to stay in the hospital for 1-2 days to monitor for any complications and ensure a smooth recovery.
Recovery and diet progression: In the weeks following surgery, patients will need to follow a strict liquid diet before gradually transitioning to soft foods and eventually solid foods. It is important for patients to follow their surgeon’s guidelines and recommendations for diet progression to ensure proper healing and weight loss.
Follow-up appointments: Patients will have regular follow-up appointments with their healthcare team to monitor their progress, address any concerns or complications, and provide ongoing support and guidance for long-term success.
Weight loss and lifestyle changes: Over time, patients can expect to see significant weight loss and improvements in their overall health and well-being. It is important for patients to make long-term lifestyle changes, including adopting a healthy diet, regular exercise, and ongoing support from healthcare professionals and support groups to maintain their weight loss and achieve optimal health outcomes.
What to Ask Your Doctor
- What are the potential risks and complications associated with gastric sleeve surgery?
- How long is the recovery period after the surgery?
- What dietary changes will I need to make post-surgery?
- Will I need to take any additional supplements or medications after the surgery?
- What is the expected weight loss after the surgery and how long will it take to see results?
- Are there any long-term effects or risks associated with gastric sleeve surgery?
- How often will I need to follow up with you after the surgery?
- What type of support or resources are available for me to help with the lifestyle changes required after surgery?
- What are the criteria for considering revisional surgery in case the initial procedure is not successful?
- Is there any additional information or research I should be aware of before deciding to proceed with gastric sleeve surgery?
Reference
Authors: Zerrweck C, Rodríguez JG, Aramburo E, Vizcarra R, Rodríguez JL, Solórzano A, Maydón HG, Sepúlveda EM. Journal: Obes Surg. 2017 Jan;27(1):38-43. doi: 10.1007/s11695-016-2242-9. PMID: 27220850