Introduction:

Laparoscopic gastric plication (LGP) is an emerging bariatric procedure that is considered effective and safe for weight loss.

Objective:

To determine the percentage of excess of weight loss (%EWL), BMI, percentage of excess of BMI loss (%EBMI), and postoperative morbidity and mortality in patients submitted to LGP with five years of follow-up.

Material and methods:

Observational, analytical study based on the capture of data in the case files of patients who underwent LGP during 2012, with five years of follow-up, and with evaluations at three, six, 12, 36 and 60 postoperative months.

Results:

A total of 40 patients were included, with a mean age of 36.2 ± 8.2 years; preoperative weight and BMI were 105.8 ± 18.9 kg and 39.2 ± 5.5 kg/m2, respectively. The %EWL was of 60.3% after one year, and 51.8% after 60 postoperative months. Weight, BMI, %EWL, and loss of excess BMI (%EBMI) were statistically significant in contrast to preoperative measures (p < 0.001). No changes were observed from 12 to 36 postoperative months. A significant regain of weight was observed from 36 to 60 postoperative months. Three reinterventions were required because of internal bleeding, and two conversions to Roux-en-Y gastric bypass.

Conclusion:

LGP is an effective bariatric procedure for weight loss, with an important %EWL observed after five postoperative years.

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