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Most of them have been abandoned because of poor long-term weight loss, food intolerance, and severe gastroesophageal reflux.Vertical banded gastroplasty in particular has resulted in poor long-term outcomes, and a high percentage of vertical banded gastroplasty patients have required revision to Roux-en-Y gastric bypass (RYGB) to alleviate intolerable reflux symptoms and dysphagia .
Patients who agreed to participate in the present study signed an informed consent document and underwent a second level of screening, including laboratory tests, a routine preoperative evaluation, upper gastrointestinal endoscopy when indicated, respiratory function tests, and evaluations by psychologists and nutritionists.
Patients who expressed interest in the gastric plication procedure participated in an initial screening process.
Those who met the criteria for the present study were evaluated, the details of the procedure were discussed, and it was clearly stated to the patient that this procedure was still under trial.
Effect on metabolic disease The effect on type II diabetes, hypertension, and dyslipidemia, and effects on serum albumin, gamma glutamyl transferase (GGT), and blood hemoglobin at 3, 6, and 12 months after surgery were evaluated.
Durability of the plication We performed postoperative endoscopy in the outpatient setting at 6 and 12 months postoperatively to assess plication durability.Inclusion criteria The participants were considered appropriate candidates for the present study if they were willing to give consent and comply with the evaluation and treatment schedule, including the International Fedration of the Surgery of Obesity and metabolic disorders (IFSO), and had a BMI greater than 40 kg/m was allowed, with at patients should have no psychopathological illness to be able to understand and tolerate the operation.