Fundectomy with Greater Curvature Plication; New Modification for Patients with Morbid Obesity | ||||
| International Journal of Medical Arts | ||||
| Article 18, Volume 3, Issue 2, April 2021, Page 1299-1305 PDF (1.34 MB) | ||||
| Document Type: Case Report | ||||
| DOI: 10.21608/ijma.2021.49531.1207 | ||||
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| Authors | ||||
Ayman Mahmoud Elwan  1; Amro Sarhan1; Abdelhameed Hifny1, 2; Mohammed Eid1; Salah Gomaa Ahmed Mohamed1
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| 1Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt | ||||
| 2Alghad University, Kingdom of Saudi Arabia | ||||
| Abstract | ||||
| 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. | ||||
| Keywords | ||||
| Ghrelin Hormone; Greater Curvature Plication; Laparoscopic Sleeve Gastrectomy; Bariatric Surgery; Fundectomy | ||||
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