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 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 hybrid willows for sale 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 leather baton holder 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.