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

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

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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 redken shades eq 07m driftwood 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 click here 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.