Bariatric Medicine Institute, Salt Lake City, Utah.
Bariatric Medicine Institute, Salt Lake City, Utah.
Surg Obes Relat Dis. 2018 Jun;14(6):780-784. doi: 10.1016/j.soard.2018.01.040. Epub 2018 Feb 2.
Laparoscopic adjustable gastric banded plication (LAGBP) is a procedure that has a stomach volume similar to the sleeve gastrectomy (SG). It has shown promising results but has not been adopted widely.
To determine the difference gastrectomy has on weight loss and complications.
Private practice, United States.
A retrospective, matched-cohort analysis of LAGBP and SG patients was found through matching body mass index and sex for each LAGBP to a SG patient. Body mass index, percentage excess weight loss, and total weight loss percentage were analyzed. Complication data were also collected on a short- (<30 d) and long- (>30 d) term basis. Complication rates were then compared. Data were analyzed through descriptive statistics.
Patients who received SG lost more body mass index, percentage excess weight loss, and total weight loss percentage at 1 year and started to gain weight between 1 and 2 years. LAGBP patients weight loss also peaked at 1 year but maintained their weight loss to year 2. SG patients lost more weight at all time points, and the difference was statistically significant (P<.05). LAGBP and SG patients had statistically similar rates of short- and long-term complication rates. In the LAGBP group (57 patients) 5, 9, 13, 14, 14, and 17 patients were lost to follow-up at 3, 6, 9, 12, 18, and 24 months, respectively. In the SG group (57 patients) 11, 10, 11, 13, 20, and 29 patients were lost to follow-up at 3, 6, 9, 12, 18, and 24 months, respectively.
Both procedures have peak weight loss at 1 year with acceptable complication rates. However, the SG starts to regain weight while the LAGBP shows weight stability. More time is needed to see if the weight loss curves will intersect or if the late band complications will also happen with the LAGBP as they have with band placement without plication.
腹腔镜可调胃束带折叠术（LAGBP）是一种使胃容量类似于袖状胃切除术（SG）的手术。它已显示出良好的效果，但尚未广泛采用。
确定胃切除术对体重减轻和并发症的影响。
美国私人诊所。
通过匹配每个 LAGBP 的体重指数和性别，对 LAGBP 和 SG 患者进行回顾性匹配队列分析。分析体重指数、超重百分比减轻和总体重减轻百分比。还收集了短期（<30d）和长期（>30d）并发症数据。然后比较并发症发生率。数据通过描述性统计进行分析。
SG 组患者在 1 年内体重指数、超重百分比减轻和总体重减轻百分比更高，并在 1 至 2 年内开始增重。LAGBP 组患者的体重减轻也在 1 年内达到峰值，但在第 2 年仍保持体重减轻。SG 组患者在所有时间点的体重减轻量均较多，差异具有统计学意义（P<.05）。LAGBP 和 SG 组患者的短期和长期并发症发生率具有统计学相似。在 LAGBP 组（57 例）中，分别有 5、9、13、14、14 和 17 例患者在第 3、6、9、12、18 和 24 个月时失访。在 SG 组（57 例）中，分别有 11、10、11、13、20 和 29 例患者在第 3、6、9、12、18 和 24 个月时失访。
两种手术在 1 年内都有体重减轻的高峰，且并发症发生率可接受。然而，SG 开始恢复体重，而 LAGBP 则显示出体重稳定。需要更多的时间来观察体重减轻曲线是否会相交，或者 LAGBP 是否会出现带放置而不折叠的晚期带并发症。
