Description

DESCRIPTION

The “Le Goff Technique” consists of a gastric banding with fixing of the band and partial gastric plicature, associated with pre- and post-operative medical-psychological treatment.

In addition to the placing of the band, the top of the stomach is folded over (greater tuberosity) to over the band itself.

PHASE 1

A band is placed retrogastrically in all cases (“pars flaccida” approach) associated with release of the greater gastric tuberosity up to the first gastrophrenic ligament: spleen adherences are sectioned but the primary gastro-phrenic ligament is rarely sectioned.

PHASE 2

The band is attached using points sero-gastric muscular-œsophageal sutures, reducing the size of the underlying stomach cavity. Gastric evacuation is slowed. This lower valve stimulates the IGLE satiety centres in the wall of the abdominal oesophagus, thus reducing appetite.

PHASE 3

All the branches of the left vagal nerve to the oesophagus and stomach are sectioned, slowing gastric evacuation.

In addition, this lower valve stimulates the IGLE satiety centres in the basal state in the wall of the abdominal oesophagus.

This procedure must be associated with multidisciplinary medical-surgical, nutritional, psychiatric-psychanalytical treatment, two to four visits in the first year, with the accent firmly on the psychological factors (psychotherapy support often indicated) and a resumption of sport.

The method can also be adjustable. The band is inflated and/or deflated by the surgeon in radiology, who can judge how the band is working, the weight loss according to tightness, the adaptation and acceptance of the band by the patient and thus whether the band is working.

Why Use The Le Goff Technique?

How was the Le Goff Technique invented? Dr Jean-Yves Le Goff explains:

In 1994-1995, my Belgian friend Guy-Bernard Cadière, inventor of the laparoscopic band, told me that the main issue with the band was the fact that it often slipped. A solution therefore had to be found to attach it firmly. I had the idea of folding over the upper part of the stomach on the band to be able to avail of stable anchoring points and thus reduce the stomach cavity. The problems of dilatation due to slipping are greatly reduced. Patients usually have a great feeling of satiety, with low food intake. Weight loss is then very rapid.

This is a minimally-invasive, reversible and non-aggressive procedure without mutilations. For 20 years, it has been widely proven. This is why I am making it known today. It is an alternative to be offered without the morbidity and mortality of other types of surgery.

Docteur Le Goff - Chirurgie de l'obésité - Le Goff Technique
Docteur Pons - Chirurgie de l'obésité - Le Goff Technique

This surgical procedure is part of a multidisciplinary treatment, in particular with visits to the psychiatrist and the nutritionist. The psychiatrist Didier Pons explains:

These pre-surgical consultations promote the patient’s engagement with the gastric banding. Often it underlines the importance of psychological factors at the origin of morbid obesity, present in 80 to 90 % of cases, and helps patients to understand why this monitoring is essential and vital in successfully losing weight, to recover one’s physical and mental health.