The Primary Clinical Study Of The Three Different Laparoscopic Gastroplasty Treatment Of Obesity

Objective: To explore the advantages and disadvantages of the operations, bycomparing the effects of the three most common laparoscopic gastroplasty treatmentof obesity, including weight loss, complications of the surgery, the improvement ofco-morbidities of obesity and the post-operative nutrition of the patients, and toprovide the theoretical basis to the clinical application of the bariatric surgery.Methods: Three groups operation (LVBG 4 cases, LRYGB 5 cases and LAGB 1 case)data were collected, and then we measured the value of body weight, BMI, waistcircumference (WC) and excess weight loss rate (EWL%)of the patientspre-operatively, 1-month, 3-months, 6-months 9-months, 12-months, 18-months,24-months, 30-months, 36-months, 42-months, 60-months and 72-monthspost-operatively. And at the same time we evaluated the complications of the surgery,the improvement of the co-morbidities of obesity and the post-operative nutrition ofthe patients. The value of body weight, BMI, WC and EWL% are expressed in mean±standard division ((?)±s). The values within one group are statistically analyzedwith two-way ANOVA, and the values between two groups are statically analyzedwith repeated measured ANOVA. All data areResult: The mean body weight, BMI, WC of group LVBG is: 96.75±20.76kg,37.70±6.38 kg/m~2,110.75±13.74cm ,and the same index of LRYGB is: respectively104.88±22.25kg,37.10±3.80 kg/m~2,114.50±13.30cm, the interclasses haven'tstatistical significance(P＞0.05). The body weight, BMI, WC of group LAGB is:105kg,38.6 kg/m~2和117cm. All the patients with co-morbidities and there is one 2type diabetes case within group LVBG and LRYGB respectively. In group LVBG, thebody weight, BMI and WC were decreasing during 24 months post-operatively, at thesame time, the EWL% is increasing. In this group, body weight, BMI and WC are73.75±8.42kg,28.83±1.79 kg/m~2 and 90.63±2.63cm 6 months post-operatively, andthat are lower than the pre-operative values(P＜0.05).24-months post operation, thebody weight, BMI and WC have decreased to the lowest level, and the EWL% increasing to the top level, that is 58.87±7.71kg,23.05±2.55 kg/m~2, 80.00±4.40cmand 84.30±16.62%. After that, the patients of LVBG have regained the body weightsomehow. In the group LRYGB, the body weight values are dereasing after operation.The index of obesity have statistical significance at 6-months post operation.(P＜0.05), and the EWL% is 52.95±9.47%. At 24 months post operation, the mean bodyweight, BMI, WC and EWL% is 60.38±13.17kg,21.40±2.51 kg/m~2和80.88±4.66cmand 103.05±13.66%, that is lower than the values pre-operation.(P＜0.01). All theco-morbidities have been controlled. In group LAGB, the body weight decreasing inone year after operation, and the BMI is 27.2 kg/m~2, and the excess body weight haslost 66.5%。Conclusion: The laparoscopic gastroplasty treatments can gain an excellent weightloss effort and cure the co-morbidities of obesity in short time in Chinese citizen.Maybe the LRYGB is the most effectively approach. However, the mid-to long-termfollow-up is still necessary.