SYOSSET, NY— The Center for Bariatric Surgical Specialties at Syosset Hospital is participating in a national study designed to evaluate the weight-loss results of Banded Gastric Plication, an investigational procedure combining two common bariatric surgical methods under the hypothesis of earlier and more-rapid weight loss with fewer risks. The hospital is the first within the North Shore-LIJ Health System to perform the minimally invasive investigational procedure for morbidly obese patients.
Bariatric surgery has proven to be a successful long-term treatment for morbidly obese patients where dieting, exercise and other short-term measures have failed. Obesity affects more than two-thirds of Americans and is caused by risk factors such as heredity, metabolic disorders, and eating and social habits. The term morbid obesity refers to an individual whose body weight is 100 pounds or more past ideal weight and unable to lose weight or maintain weight loss. Patients eligible for weight-loss surgery are educated by the Syosset Bariatric Center’s team about all options, including the investigational Banded Gastric Plication procedure, to find the weight-loss method best suited to each patient’s body and lifestyle.
Banded Gastric Plication combines two minimally invasive bariatric procedures—adjustable gastric banding, which entails placing an adjustable silicone band around the upper stomach, and plication, a technique that uses sutures to fold the external wall of the stomach, creating a sleeve-like contour to the lower part of the stomach below the band. Both methods promote weight loss and control hunger by reducing stomach size, limiting food intake and increasing gastric emptying. The process does not cut the stomach or re-route the intestines and, as a result, patients experience lower infection and complication risks, faster recovery times, and minimal post-operative pain and scarring as compared to more invasive bariatric methods like gastric bypass or sleeve gastrectomy. Potential risks of banded gastric plication are considered infrequent and may include gastric outlet obstruction (inability of food to pass from the stomach to the small intestine), bleeding from the stitched line, dilation (enlargement) of the plicated tissue over time and ischemic (restricted blood flow) complication at the surgery site. As with any study, long-term data is still being compiled to support the long-term effectiveness of the procedure.
“Early studies have shown that Banded Gastric Plication, compared to the gastric band alone, may be a more durable surgical weight loss solution,” said Alan Geiss, MD, director of the Center for Bariatric Surgical Specialties at Syosset Hospital. “Though we do not yet know the long-term durability of the procedure, the early results are very encouraging and we are excited to compile more concrete and long-term results.” Dr. Geiss said that the benefits include reduced risk, fewer gastric band adjustments, and significant short- and long-term weight loss. Preliminary results from Duke University Medical Center and the University of Pittsburgh School of Medicine showed evidence of a marked increase in the percent of excess weight loss over 7 months to one-year follow-up. Physicians also predict that the procedure is reversible.
The Institutional Review Board (IRB)-approved study at Syosset will review the findings from 92 Banded Gastric Plication patients as compared with historical data on outcomes from bariatric patients with the laparoscopic adjustable gastric band (LAGB) alone. To prepare, Dr. Geiss completed a training program in Banded Gastric Plication at Duke University Medical Center. Approximately 25 have been performed at the Syosset Bariatric Center thus far, and patients have recovered well with few complications-- about 2 percent have reported post-operative nausea. The procedure requires one and a half hours, approximately 20-25 minutes longer than a standard gastric band procedure, and patients stay in the hospital for about 23 hours.
“This is a ground-breaking procedure on the cutting-edge of bariatric surgery,” said James O’Hara, administrative director of the Center for Bariatric Surgical Specialties at Syosset Hospital. “It is innovative and educational, and we are proud to participate and contribute research that will improve patient outcomes and satisfaction.” The Syosset Bariatric Center has performed more than 5,000 bariatric procedures with complication rates that are lower than the national average and a zero mortality rate from anesthesia or surgery. As an American Society for Metabolic and Bariatric Surgery (ASMBS) Bariatric Surgery Center of Excellence, the Center ranks among the best hospitals nationally for the treatment of morbidly obese patients.
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For more information on the Banded Gastric Plication procedure at The Center for Bariatric Surgical Specialties at Syosset Hospital, call (516) 496-2752.