Laparoscopic Gastric Plication (LGCP) Vs Sleeve Gastrectomy (LSG): A Single Institution Experience

Overview

Journal Obes Surg

Date 2015 Feb 10

PMID 25663148

Citations 16

Authors

Daunia Verdi

Luca Prevedello

Alice Albanese

Andrea Lobba

Mirto Foletto

Affiliations

Soon will be listed here.

Abstract

Background: Laparoscopic greater curvature plication (LGCP) and laparoscopic sleeve gastrectomy (LSG) both reduce gastric capacity, either by in-folding (LGCP) or removing (LSG) the greater curvature. While mid and long-term results of LSG are well known, LGCP is still considered investigational. The aim of this study was to compare the effectiveness of LGCP and LSG in terms of weight loss and safety.

Methods: Forty-five obese LGCP patients (6 males and 39 females) were matched with 45 LSG patients. The two groups were matched according to sex, age ± 10 years and BMI ± 1 kg/m(2). Surgical complication rate, redo surgery need, excess BMI loss (%EBL) and mean BMI at 3 and 6 months were compared.

Results: LGCP and LSG mean age was 37.8 and 40 years, while the mean preoperative BMI was 40.65 and 41 kg/m(2), respectively. There was no difference in operative time, complication rate, mean BMI and %EBL at 3 months. Redo surgery rate was higher in LGCP group (LGCP 60 % vs LSG 8.8 %, P < 0.0001). The mean time to redo surgery was longer in LSG group (23 ± 6.61 vs 17.3 ± 7.67 months, P = 0.0003). The mean BMI at 6 months was lower in LSG group (32 ± 5.7 vs 34.6 ± 5.3, P = 0.028). The mean %EBL at 6 months was higher in LSG group (57 ± 30.89 vs 40.2 ± 25, P = 0.0057).

Conclusions: LGCP patients required more redo surgery. Weight loss was greater in LSG group at 6-month follow-up.

Citing Articles

Soluble P2X7 Receptor Plasma Levels in Obese Subjects before and after Weight Loss via Bariatric Surgery.

Di Vincenzo A, Granzotto M, Graziani A, Crescenzi M, Foletto M, Prevedello L Int J Mol Sci. 2023; 24(23).

PMID: 38069064 PMC: 10706616. DOI: 10.3390/ijms242316741.

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.

Plasma ghrelin, adiponectin and leptin levels in obese rats with type 2 diabetes mellitus after sleeve gastrectomy and gastric plication.

Stoica L, Gadea R, Navolan D, Lazar F, Duta C, Stoian D Exp Ther Med. 2021; 21(3):264.

PMID: 33603871 PMC: 7851650. DOI: 10.3892/etm.2021.9695.

The Short-Term Effects of Transit Bipartition with Sleeve Gastrectomy and Distal-Roux-en-Y Gastric Bypass on Glycemic Control, Weight Loss, and Nutritional Status in Morbidly Obese and Type 2 Diabetes Mellitus Patients.

Ece I, Yilmaz H, Yormaz S, Colak B, Calisir A, Sahin M Obes Surg. 2021; 31(5):2062-2071.

PMID: 33409969 DOI: 10.1007/s11695-020-05212-w.

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