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ATTUALITA’ E NUOVE PROSPETTIVE IN CHIRURGIA BARIATRICA E METABOLICA Cagliari 25-27 Aprile 2013. Sleeve gastrectomy and gastric plication. Comparison of two restrictive bariatric procedures. Giorgio Bottani , MD Azienda Ospedaliera della Provincia di Pavia
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IN CHIRURGIA BARIATRICA E METABOLICA
Cagliari 25-27 Aprile 2013
Sleeve gastrectomy and gastric plication.
Comparison of two restrictive bariatric procedures
Giorgio Bottani, MD
Azienda Ospedaliera della Provincia di Pavia
Direttore U.O.C. Chirurgia Generale
Direttore Centro di Chirurgia dell’Obesità
We compared the results and complications of gastric plication with the sleeve gastrectomy.
wehaveachieved50 gastric plication and 50 sleeve gastrectomy in twoyears (2010-2011)
with the sametechnique and the samesurgeon, plus follow-up.
44 women and 6 men for LGCP
40 men and 10 women for LSG (averageageis 32.5 years, the mean BMI is 41 kg/m2 (LGCP) and 43kg /m2 (LSG).
Anterior view after plication preserving His Angle
Talebpour et al.Annals of Surgical Innovation and Research20126:7 doi:10.1186/1750-1164-6-7
in day 1 and discharge on day 2 for LGPC
and day 5 for LSG with a liquiddiet.
Endoscopiccontrols at doneafter 6, 12 and 24 months.
For the LGCP:
For the LSG
Surg Obes Relat Dis. 2011 Nov-Dec; 7 (6) :749-59.
Third International Summit: Current status of sleeve gastrectomy..
Deitel M , Gagner M , Erickson AL , Crosby RD .
Based on a survey involving 88 surgeons who had performed 19605 LSG's, complications include
staple-line leak, at a rate from 0 to 10% (mean 1.3 ± 2.0) for high leaks at the level of the gastroesophageal junction, 0 to 10% (mean 0.5 ± 1.8) for lower leaks,
0 to 40% (mean 2.0 ± 5.0) for hemorrhage,
splenic injury in 0 to 10% (mean 0.3, sd 1.3),
liver injury in 0 to 7% (mean 0.2 ± 0.9),
stricture in 0–5% (mean 0.6 ± 1.1), and other complications in 0 to 38% (mean 2.4 ± 8.4).
Mortality rate was assessed at 0.1% with a standard deviation of 0.3.
ORMONIL'equilibrio tra gli ormoni gastrici e l'appetito non è stato modificato dopo SG
EWL after LGP,
A Mean Percentages of EWL from baseline amount during 5 years of follow up;
B Mean Percentages of EWL from baseline amount during 5 years of follow up and their variance in cases and its range as vertical lines.
La Plicatura gastrica è efficace quanto gli altri metodi restrittivi