Comparison of Short-term Outcomes Between Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2013 Feb 28

PMID 23443480

Citations 32

Authors

Dijian Shen

Huan Ye

Yuedong Wang

Yun Ji

Xiaoli Zhan

Jinhui Zhu

Wei Li

Affiliations

Soon will be listed here.

Abstract

Background: Laparoscopic greater curvature plication (LGCP) is an emerging restrictive bariatric procedure that successfully reduces the gastric volume by plication of the gastric greater curvature. The aim of this prospective nonrandomized study was to compare short-term outcomes and associated complications between LGCP and laparoscopic sleeve gastrectomy (LSG).

Methods: From January 2011 to November 2011, a total of 39 patients were allocated to undergo either LGCP (n = 19) or LSG (n = 20). Data on the operative time, complications, hospital stay, overall cost of LSG and LGCP, body mass index loss (BMIL), percentage of excess weight loss (%EWL), loss of appetite and improvement of comorbidities were collected during the follow-up examinations.

Results: All procedures were completed laparoscopically. The mean operative time was 95.0 ± 17.4 minutes for the LGCP group and 85.5 ± 18.4 minutes for the LSG group (P = 0.107). No patient required reoperation due to an early complication. One patient in the LSG group was readmitted because of gastric stenosis. The mean hospital stay was 4.2 ± 1.9 days in the LGCP group and 3.9 ± 1.7 days in the LSG group (P = 0.595). The total cost of LSG was $7,826 ± 537 compared to LGCP ($3,358 ± 264) (P < 0.001). One year after surgery, the mean %EWL was 58.8 ± 16.7 % (n = 11) in the LGCP group and 80.0 ± 26.8 % (n = 11) in the LSG group (P = 0.038). Loss of feeling of hunger was reported in 27.3 % LGCP patients and 72.7 % LSG patients (P = 0.033) at 1 year after surgery. The comorbidities, including diabetes, sleep apnea and hypertension, were markedly improved in both groups 6 months after surgery.

Conclusions: The short-term outcomes of our study demonstrate that compared with LSG, LGCP is inferior as a restrictive procedure for weight loss, despite its significantly smaller cost. Longer follow-up and prospective comparative trials are needed to confirm the long-term outcomes of this novel procedure and make definitive conclusions.

Citing Articles

Laparoscopic Conversion of Gastric Plication to One Anastomosis Gastric Bypass.

Nevo H, Hamoud M, Khuri W, Mokari S, Zoabi S, Sakran N Obes Surg. 2024; 34(7):2751-2753.

PMID: 38848029 PMC: 11217048. DOI: 10.1007/s11695-024-07303-4.

Long-Term Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: Critical Appraisal of the Role of Gastric Plication in Bariatric Surgery.

Tsao L, Lin J, Wang B, Chang Y, Huang C, Yu S Medicina (Kaunas). 2022; 58(9).

PMID: 36143976 PMC: 9503388. DOI: 10.3390/medicina58091299.

Comparison Between Laparoscopic Sleeve Gastrectomy and Laparoscopic Greater Curvature Plication Treatments for Obesity: an Updated Systematic Review and Meta-Analysis.

Li H, Wang J, Wang W, Wang X, Xu Z, Li H Obes Surg. 2021; 31(9):4142-4158.

PMID: 34227019 DOI: 10.1007/s11695-021-05538-z.

Laparoscopic sleeve gastrectomy versus endoscopic sleeve gastroplasty: a systematic review and meta-analysis.

Marincola G, Gallo C, Hassan C, Raffaelli M, Costamagna G, Bove V Endosc Int Open. 2021; 9(1):E87-E95.

PMID: 33403240 PMC: 7775813. DOI: 10.1055/a-1300-1085.

Laparoscopic Greater Curvature Plication for the Treatment of Obesity: a Systematic Review.

El Soueidy T, Kassir R, Nakhoul M, Balian A, Nunziante M, Safieddine M Obes Surg. 2020; 31(3):1168-1182.

PMID: 33215360 DOI: 10.1007/s11695-020-05112-z.

References

Brethauer S, Harris J, Kroh M, Schauer P . Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2010; 7(1):15-22. DOI: 10.1016/j.soard.2010.09.023. View

Colquitt J, Picot J, Loveman E, Clegg A . Surgery for obesity. Cochrane Database Syst Rev. 2009; (2):CD003641. DOI: 10.1002/14651858.CD003641.pub3. View

Inui A, Asakawa A, Bowers C, Mantovani G, Laviano A, Meguid M . Ghrelin, appetite, and gastric motility: the emerging role of the stomach as an endocrine organ. FASEB J. 2004; 18(3):439-56. DOI: 10.1096/fj.03-0641rev. View

Casella G, Soricelli E, Rizzello M, Trentino P, Fiocca F, Fantini A . Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009; 19(7):821-6. DOI: 10.1007/s11695-009-9840-8. View

Regan J, Inabnet W, Gagner M, Pomp A . Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2004; 13(6):861-4. DOI: 10.1381/096089203322618669. View

Langer F, Reza Hoda M, Bohdjalian A, Felberbauer F, Zacherl J, Wenzl E . Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005; 15(7):1024-9. DOI: 10.1381/0960892054621125. View

Wang Y, Mi J, Shan X, Wang Q, Ge K . Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes (Lond). 2006; 31(1):177-88. DOI: 10.1038/sj.ijo.0803354. View

Campos J, Siqueira L, Meira M, Ferraz A, Ferraz E, Guimaraes M . Gastrobronchial fistula as a rare complication of gastroplasty for obesity: a report of two cases. J Bras Pneumol. 2007; 33(4):475-9. DOI: 10.1590/s1806-37132007000400018. View

Buchwald H, Avidor Y, Braunwald E, Jensen M, Pories W, Fahrbach K . Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004; 292(14):1724-37. DOI: 10.1001/jama.292.14.1724. View

10.

Kirchner H, Heppner K, Tschop M . The role of ghrelin in the control of energy balance. Handb Exp Pharmacol. 2012; (209):161-84. DOI: 10.1007/978-3-642-24716-3_7. View

11.

Shi X, Karmali S, Sharma A, Birch D . A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2010; 20(8):1171-7. DOI: 10.1007/s11695-010-0145-8. View

12.

Wu J, Ye H, Wang Y, Zhu Y, Xie Z, Zhan X . Comparative study of laparoscopic sleeve gastrectomy with and without partial enterectomy and omentectomy. Surg Obes Relat Dis. 2011; 8(3):275-80. DOI: 10.1016/j.soard.2011.06.018. View

13.

Harvey E, Arroyo K, Korner J, Inabnet W . Hormone changes affecting energy homeostasis after metabolic surgery. Mt Sinai J Med. 2010; 77(5):446-65. DOI: 10.1002/msj.20203. View

14.

Ramos A, Neto M, Galvao M, Evangelista L, Campos J, Ferraz A . Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure. Obes Surg. 2010; 20(7):913-8. DOI: 10.1007/s11695-010-0132-0. View

15.

Cummings D . Ghrelin and the short- and long-term regulation of appetite and body weight. Physiol Behav. 2006; 89(1):71-84. DOI: 10.1016/j.physbeh.2006.05.022. View

16.

Date Y, Kojima M, Hosoda H, Sawaguchi A, Mondal M, Suganuma T . Ghrelin, a novel growth hormone-releasing acylated peptide, is synthesized in a distinct endocrine cell type in the gastrointestinal tracts of rats and humans. Endocrinology. 2000; 141(11):4255-61. DOI: 10.1210/endo.141.11.7757. View

17.

Himpens J, Dobbeleir J, Peeters G . Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010; 252(2):319-24. DOI: 10.1097/SLA.0b013e3181e90b31. View

18.

Fried M, Dolezalova K, Buchwald J, McGlennon T, Sramkova P, Ribaric G . Laparoscopic greater curvature plication (LGCP) for treatment of morbid obesity in a series of 244 patients. Obes Surg. 2012; 22(8):1298-307. DOI: 10.1007/s11695-012-0684-2. View

19.

Schauer P, Kashyap S, Wolski K, Brethauer S, Kirwan J, Pothier C . Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012; 366(17):1567-76. PMC: 3372918. DOI: 10.1056/NEJMoa1200225. View

20.

Stanhope K, Schwarz J, Keim N, Griffen S, Bremer A, Graham J . Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans. J Clin Invest. 2009; 119(5):1322-34. PMC: 2673878. DOI: 10.1172/JCI37385. View