title: Short-Term Analysis of Food Tolerance and Quality of Life after Laparoscopic Greater Curvature Plication.
abstract: OBJECTIVE
  The aim of this study was to compare short-term outcomes [food tolerance scores (FTS) and quality of life] after three types of restrictive bariatric surgery: laparoscopic adjustable gastric banding (LAGB), laparoscopic greater curvature plication (LGCP), and laparoscopic sleeve gastrectomy (LSG).
  
  
  METHODS
  From January 2012 to December 2013, all patients that underwent primary surgery were included in one of the LAGB, LGCP, or LSG groups. These three groups were then compared with respect to FTS, gastrointestinal quality of life indices (GIQLI), and the Medical Outcomes Study Short-Form 36 (SF-36) questionnaire. Questionnaires were sent to all patients both pre- and post-operatively.
  
  
  RESULTS
  A total of 85 patients (LAGB=45, LGCP=22, and LSG=18) returned the questionnaires in full, and these patients constituted the study cohort. The cohort was predominately female (n=73, 85.9%). Mean percentage excess weight loss (%EWL) values after LAGB, LGCP, and LSG were 65.4 ± 27.0%, 65.6 ± 25.2%, and 82.7 ± 21.7%, respectively (p=0.044). Mean postoperative FTSs and improvements in total GIQLIs after LAGB, LGCP, and LSG were 15.96, 20.95, and 21.33 and -3.40, 6.68, and 18.78, respectively (p<0.05). All procedures produced improvements in the three SF-36 domain scores. Subgroup analysis revealed significant differences between the three procedures in terms of improvements in general health and emotional well-being.
  
  
  CONCLUSIONS
  LGCP is safe and effective at achieving significant weight loss. In terms of food tolerance and GI quality of life, LGCP was found to be comparable to gastric banding and sleeve gastrectomy.
authors: Department of Surgery, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea.
authors: Su Bin
authors: SB
authors: Kim
authors: Department of Surgery, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. seongmin_kim@gilhospital.com.
authors: Seong Min
authors: SM
authors: Kim
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015391:Gastroplasty / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011184:Postoperative Period; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult
keywords: GIQLI; Laparoscopic greater curvature plication; SF-36; food tolerance score