Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity

Background: Obesity is a global epidemic. Laparoscopic greater curvature plication [LGCP] is a restrictive surgical procedure described for the first time on 1981 by Wilkinson. Fundectomy is a selective resection of the acid-producing segment of the stomach, with removal of peptide hormone-producing...

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Autores principales:	Ayman Mahmoud Elwan, Amro Sarhan, Abdelhameed Hifny, Mohammed Eid, Salah Gomaa Ahmed Mohamed
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	ghrelin hormone greater curvature plication laparoscopic sleeve gastrectomy bariatric surgery fundectomy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/05b5a90f911343f4923f49a552639043
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spelling	oai:doaj.org-article:05b5a90f911343f4923f49a5526390432021-12-02T17:15:19ZFundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity2636-41742682-378010.21608/ijma.2021.49531.1207https://doaj.org/article/05b5a90f911343f4923f49a5526390432021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_158961_50f5174b060b3366b8d606eacb1729d1.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Obesity is a global epidemic. Laparoscopic greater curvature plication [LGCP] is a restrictive surgical procedure described for the first time on 1981 by Wilkinson. Fundectomy is a selective resection of the acid-producing segment of the stomach, with removal of peptide hormone-producing cells [the oxyntic mucosa] as a consequence of the fundectomy. Aim of the work: Our aim is to assess the feasibility and advantages of the novel modification for morbidly obese patients which include fundectomy with greater curvature plication. Patients and Methods: Ten patients were included in this study, which carried out at Al-Azhar University Hospital [New Damietta]. Results: Body mass index [BMI] ranged from 30 to 48 kg/m2 [the mean was 38.8 kg/m2]. Operative time ranged from 60 to 120 minutes [Mean time: 93.5 minutes]. The mean hospital stay time was 1.35 days. The mean estimated weight loss percentage [EWL%] was 29.1% at three months, 44.6% at six months, 60.4% at one year, and 72.4% at two years. EWL% was less than 50% for one patient which needs reoperation with Laparoscopic Sleeve Gastrectomy. Two patients [20%] developed heartburn due to gastroesophageal reflux disease [GERD]. Nine patients [90%] presented nausea, and vomiting was present in four patients [40%]. Conclusion: Fundectomy and Greater curvature plication is a feasible, safe, effective as a bariatric operation with avoidance of complications of other bariatric operations. As a new modification for bariatric surgery, this operation needs more investigations and longer periods for follow up.Ayman Mahmoud ElwanAmro SarhanAbdelhameed HifnyMohammed EidSalah Gomaa Ahmed MohamedAl-Azhar University, Faculty of Medicine (Damietta)articleghrelin hormonegreater curvature plicationlaparoscopic sleeve gastrectomybariatric surgeryfundectomyMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1299-1305 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ghrelin hormone greater curvature plication laparoscopic sleeve gastrectomy bariatric surgery fundectomy Medicine (General) R5-920
spellingShingle	ghrelin hormone greater curvature plication laparoscopic sleeve gastrectomy bariatric surgery fundectomy Medicine (General) R5-920 Ayman Mahmoud Elwan Amro Sarhan Abdelhameed Hifny Mohammed Eid Salah Gomaa Ahmed Mohamed Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity
description	Background: Obesity is a global epidemic. Laparoscopic greater curvature plication [LGCP] is a restrictive surgical procedure described for the first time on 1981 by Wilkinson. Fundectomy is a selective resection of the acid-producing segment of the stomach, with removal of peptide hormone-producing cells [the oxyntic mucosa] as a consequence of the fundectomy. Aim of the work: Our aim is to assess the feasibility and advantages of the novel modification for morbidly obese patients which include fundectomy with greater curvature plication. Patients and Methods: Ten patients were included in this study, which carried out at Al-Azhar University Hospital [New Damietta]. Results: Body mass index [BMI] ranged from 30 to 48 kg/m2 [the mean was 38.8 kg/m2]. Operative time ranged from 60 to 120 minutes [Mean time: 93.5 minutes]. The mean hospital stay time was 1.35 days. The mean estimated weight loss percentage [EWL%] was 29.1% at three months, 44.6% at six months, 60.4% at one year, and 72.4% at two years. EWL% was less than 50% for one patient which needs reoperation with Laparoscopic Sleeve Gastrectomy. Two patients [20%] developed heartburn due to gastroesophageal reflux disease [GERD]. Nine patients [90%] presented nausea, and vomiting was present in four patients [40%]. Conclusion: Fundectomy and Greater curvature plication is a feasible, safe, effective as a bariatric operation with avoidance of complications of other bariatric operations. As a new modification for bariatric surgery, this operation needs more investigations and longer periods for follow up.
format	article
author	Ayman Mahmoud Elwan Amro Sarhan Abdelhameed Hifny Mohammed Eid Salah Gomaa Ahmed Mohamed
author_facet	Ayman Mahmoud Elwan Amro Sarhan Abdelhameed Hifny Mohammed Eid Salah Gomaa Ahmed Mohamed
author_sort	Ayman Mahmoud Elwan
title	Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity
title_short	Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity
title_full	Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity
title_fullStr	Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity
title_full_unstemmed	Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity
title_sort	fundectomy with greater curvature plication; new modification for patients with morbid obesity
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/05b5a90f911343f4923f49a552639043
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Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity

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