Changes in the Body Composition After Laparoscopic Gastric Plication: A Short-Term Prospective Case Series Publisher Pubmed



Vahidi H¹ ; Talebpour A¹ ; Tabatabaie O¹ ; Talebpour M¹
Source: Surgery for Obesity and Related Diseases Published:2016

Abstract

Background While laparoscopic gastric plication (LGP) results in a rapid weight loss in the first postoperative months, changes in body composition after LGP have not been studied previously. Objective To evaluate the body composition after LGP. Setting A tertiary referral hospital. Method This is a consecutive case series. Body composition was measured using bioimpedance analysis with a Tanita BC-418 by 1 nutritionist. Weight, fat mass (FM), fat-free mass (FFM), and total body water (TBW) were measured at baseline and at 1, 3, and 6 months postoperative. Results Sixteen consecutive patients underwent LGP. No intraoperative or major postoperative complications occurred during the follow-up period. No patient was lost to follow-up at any point during the study period. Mean postoperative total weight loss was 31 kg after 6 months, of which 25.5 kg (83%) was due to FM reduction. %FM was decreased by 15% after 6 months, whereas %TBW increased by 11%. Conclusions Most of the weight loss caused by LGP is attributable to FM loss, and FFM loss is minimal after LGP. Therefore, LGP shifts body composition toward normal. © 2016 American Society for Bariatric Surgery.