Five-Year Outcomes: Laparoscopic Greater Curvature Plication for Treatment of Morbid Obesity

Overview

Journal Obes Surg

Date 2017 Jun 1

PMID 28560523

Citations 10

Authors

K Dolezalova-Kormanova

J N Buchwald

D Skochova

D Pichlerova

T W McGlennon

M Fried

Affiliations

Soon will be listed here.

Abstract

Background: Laparoscopic greater curvature plication (LGCP) is a newer metabolic/bariatric surgical procedure that requires no resection, bypass, or implantable device. We report outcomes in a cohort of LGCP patients at 5-year follow-up.

Methods: Body mass index (BMI, kg/m) evolution, excess weight loss (%EWL), excess BMI loss (%EBMIL), and total weight loss (%TWL) were recorded. Repeated measures analysis of variance (ANOVA) was used to assess BMI change over 5 years. Two-step cluster analysis was used to profile LGCP patients according to significant characteristics relative to successful 5-year weight loss.

Results: Of patients entering the study between 2010 and 2011 with complete weight data through 5-year follow-up (86.9%, 212/244), mean age was 45.8 ± 10.9 years; mean baseline BMI, 41.4 ± 5.5 (81.6% women); 58 patients (27.4%) had type 2 diabetes. Mean operative time was 69.0 min; mean hospitalization, 38 h (24-72). ANOVA indicated a significant BMI reduction out to 2 years (p < 0.001), a plateau at 3 and 4 years, and a moderate but significant BMI increase at 5 years (p < 0.01). EBMIL at 1, 2, 3, 4, and 5 years was as follows: 50.7 ± 9.1%, 61.5 ± 8.1%, 60.2 ± 7.0%, 58.5 ± 7.0%, and 56.8 ± 6.3%. At 5 years, 79.2% (168/212) of patients were successful; 20.8% (44/212) experienced a suboptimal weight outcome; mean weight regain, 9.2%. Cluster analysis identified four distinct LGCP patient profiles. Diabetes improvement rate was 65.5%. There were 12 reoperations (4.9%): 4 emergency (1.6%) and 8 (3.3%) elective. There was no mortality.

Conclusions: At 5-year follow-up, LGCP proved to be safe and effective, with 56.8% EBMIL and a low rate of complications.

Citing Articles

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.

Long-Term Outcomes of Laparoscopic Gastric Plication for Treatment of Morbid Obesity: a Single-Center Experience.

Abdelgawad M, Elgeidie A, El Sorogy M, ElRefai M, Hamed H, Abou El-Magd E Obes Surg. 2022; 32(10):3324-3331.

PMID: 35962269 PMC: 9532336. DOI: 10.1007/s11695-022-06217-3.

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.

Effect of bariatric surgery on fatty liver disease in obese patients: A prospective one year follow-up study.

Toman D, Vavra P, Jelinek P, Ostruszka P, Ihnat P, Foltys A Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021; 166(2):195-203.

PMID: 33885048 DOI: 10.5507/bp.2021.021.

The effect of surgical gastric plication on obesity and diabetes mellitus type 2: a systematic review and meta-analysis.

Meyer H, Riauka R, Dambrauskas Z, Mickevicius A Wideochir Inne Tech Maloinwazyjne. 2021; 16(1):10-18.

PMID: 33786112 PMC: 7991956. DOI: 10.5114/wiitm.2020.97424.

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