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WJOLS

Gastric Plication as a New Stand-Alone Procedure for the Treatment of Morbid Obesity

Fig. 10: Postoperative gastrografin meal X-ray (normal gastrografin meal at day 1)

• Mean hospital stay was 36 hours. A total of 428 patients (p < 0.001). However, the slight increase also noted after the
(95.3%) left the hospital after 24 hours stay and 21 patients 12 months, is nonsignificant (p > 0.05), and a plateau phase
(4.7%) were kept more than 1 day. is reached at 1 year postsurgery, like in the overall group.

Patients’ Characteristics Patients with BMI > 45 (n = 80)

Over the 449 patients included: In another subgroup analysis of patients with a BMI > 45
• A total of 147 patients were men (32.7%) and 302 patients (Table 3), similar results are noted as in the overall group
were women (67.3%). and in the subgroup of BMI between 30 and 45, despite
• The mean age of all the patients was 35.99 ± 10.85 years. lesser degrees of loss of the excess weight in this subgroup.
2
• The mean BMI was equal to 39.93 ± 6.15 kg/m with a In fact, a peak of significant EWL is noted until 12 months
mean body weight of 112.9 ± 23.4 kg. after the surgery (p < 0.001). However, despite a relative
gain of weight after the 12 months, this gain seems to be
excess Weight loss and bMI nonsignificant (p > 0.05), and the plateau phase seems also
to be reached at 1 year postsurgery.
All Patients (n = 449)

A significant EWL is noted until 12 months postsurgery, with Comparison between Subgroups of BMI
a peak of EWL during the first 6 months (p < 0.001) (Table 1). By a comparison between the subgroups of BMI (Graph 1),
However, despite a slight loss of excess weight after the a significant difference is noted in EWL between the two
12 months, this loss seems to be nonsignificant (p > 0.05), and subgroups (BMI between 30 and 45 and BMI > 45) at the
a plateau phase seems to be reached at one year postsurgery. different periods. In fact, a more important percentage of
EWL is seen in the subgroup of BMI between 30 and 45,
Patients with BMI between 30 and 45 (n = 368) and a lower percentage is seen in the subgroup of BMI > 45.

In a subgroup analysis of patients with a BMI between 30 and
45 (Table 2), similar results are noted as in the overall group. excess Weight loss and Types of Sutures
In fact, a significant EWL is also noted until 12 months after To refine the results, the first 80 cases were considered
the surgery, with a peak of EWL during the first 6 months as the learning curve and the study was divided into two

World Journal of Laparoscopic Surgery, May-August 2014;7(2):49-59 55