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  • Title: Comparative Study Between Laparoscopic Adjustable Gastric Banded Plication and Sleeve Gastrectomy in Moderate Obesity--2 Year Results.
    Author: Ahluwalia JS, Chang PC, Tai CM, Tsai CC, Sun PL, Huang CK.
    Journal: Obes Surg; 2016 Mar; 26(3):552-7. PubMed ID: 26189735.
    Abstract:
    BACKGROUND: The traditional bariatric surgery guidelines issued by the National Institute of Health in 1991 did not include moderate obesity as an indication for bariatric surgery. These patients also develop risk of significant comorbidity and mortality. Nonsurgical treatment for them is not generally effective. This study compared the results of patients undergoing laparoscopic adjustable gastric banded plication (LAGBP) with laparoscopic sleeve gastrectomy (LSG) in patients with BMI between 30 and 35. METHODS: A review of data was done for patients who underwent either LAGBP or LSG in our hospital from February 2007 to October 2012. The inclusion criterion for both groups was BMI between 30 and 35 with or without comorbidity. RESULTS: One hundred thirty-nine patients were included in the study out of which 42 underwent LAGBP and 97 LSG. The operating time for LAGBP was significantly longer: 105.39 ± 39 vs. 59 ± 29.56 min. The postoperative hospital stay was not statistically different between the two procedures. The mean percent excess weight loss (%EWL) was significantly lower for LAGBP at 1 year but became insignificant at 2 years. Both groups had two postoperative complications, but the rate was not statistically different. The comorbidity resolution data did not show any significant difference between the two groups. CONCLUSION: In the present study, both LAGBP and LSG seemed to be safe and effective bariatric procedures in moderate obesity with 2-year results. But the long-term results are still awaited.
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