Laparoscopic Adjustable Gastric Banded Plication: a Case-Matched Comparative Study with Laparoscopic Sleeve Gastrectomy

Abstract

Laparoscopic sleeve gastrectomy (LSG) has been accepted as stand-alone restrictive bariatric procedure; laparoscopic adjustable gastric banded plication (LAGBP) is an innovative technique combining gastric banding and plication of the stomach. This study aims to compare LAGBP with LSG in terms of percent excess weight loss (%EWL), resolution of comorbidities, and complications. This study was conducted in a university hospital. We retrospectively analyzed data of 60 patients: 30 each receiving LSG and LAGBP between May 2009 to October 2010. Demographics, operative data, complications, % EWL, and resolution of comorbidities were analyzed and compared. All the patients were followed for at least 1year. LSG and LAGBP were matched for age, sex, body mass index and comorbidity ratio. Mean operative time was significantly longer in LAGBP: 62.45 ± 30.1 vs. 86.01 ± 21.88 (p = 0.001). Both groups had similar complication rates (6.67%) and most of the patients achieved significant resolution of comorbidities. The mean %EWL was statistically significant for LSG till 18months follow-up as compared to LAGBP, but there was no difference at 2years (p = 0.971). Mean frequency of band adjustment after LAGBP in 2years was 1.50 ± 1.51. There was no significant difference in comorbidity resolution in both groups. LAGBP is a dual restrictive bariatric procedure offering similar results with LSG at 2years in terms of complications, % EWL, and comorbidity resolution with potential of continual weight loss due to band.