Clinical Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: a Case-Matched Control Study

Abstract

Background Laparoscopic greater curvature plication (LGCP) is a new bariatric procedure that is similar to laparoscopic sleeve gastrectomy (LSG) in that it uses a restrictive mechanism. Comparative studies between LGCP and LSG were still limited. The aim of this study was to compare the clinical outcomes of the two procedures based on the same clinical conditions. Methods From January 2012 to December 2015, 260 patients with morbid obesity underwent LGCP and LSG in a single center. Data on patient demography, operation time, complications, hospital stay, body mass index loss, percentage of excess weight loss (%EWL), and improvement in comorbidities were collected. A propensity-matched analysis, incorporating pre-operative variables, was used to compare the short-term outcomes between LGCP and LSG. Results Propensity matching produced 48 patients in each group. Patients who underwent LGCP were predominately female (75.5%, 41.1% of the LSG patients were female, p = 0.028). Baseline BMI and excess weight were significantly lower in the LGCP group (p < 0.001). The LSG group showed a greater decrease in excess body weight than the LGCP group (

A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity

“…In case series, favourable complication rates and weight-loss outcomes were observed [ 9 – 14 , 17 ]. On the other hand, non-randomised comparative trials (most of them reporting short-term results) suggest that LGP is inferior to LSG in terms of efficacy [ 15 , 16 , 19 , 21 , 22 ] except for the RCT of Talebpour et al, because they found an initial significant difference in weight loss between the groups in favour of LSG, but this was equalised in the long term [ 20 ]. Later, Heidari et al published a paper reporting a high rate of revisional surgery after LGP due to ineffective weight-loss management [ 23 ].…”

“…SG is the first part of these procedures which is very popular among bariatric surgeons due to its simplicity; however, it is only a restrictive method without the advantages of exclusion duodeno-jejunal mucosa from digestion. The major concerns of LSG are bleeding, leakage and augmented symptoms of GERD after surgery [ 2 – 7 , 15 , 19 , 20 , 22 , 24 ]. During LGP, greater curvature of the stomach is invaginated into the gastric lumen in two or three folds by two layers of laparoscopic interrupted or running sutures.…”

Retrospective Managment of Post Operative Complication of Morbied Obese Patients

“…to laparoscopic sleeve gastrectomy, the Laparoscopic Greater Curvature Plication (LGCP) is a restrictive procedure limiting the volume of food your stomach can hold. Unlike the sleeve however, your stomach will not be cut, it will be sewn into a small tube shape (Li et al, 2019).…”

Conceptos innovadores en cirugía bariátrica que sustentan el bypass gástrico con preservación gastroduodenal (bg-pg): una propuesta técnica

“…Los resultados y la fiabilidad de las tres técnicas en las que se basa nuestro procedimiento ya se han descrito ampliamente, razón por la que las elegimos. Seleccionamos una cirugía tipo plicatura gástrica en lugar de una cirugía tipo manga gástrica como componente restrictivo de nuestra técnica ya que, aunque esta última es más efectiva, la seguridad de ambas es prácticamente la misma, y la plicatura gástrica tiene las ventajas de reversibilidad, mejor aceptación y menores costos [5,23]. Además, proponemos que la modificación a la técnica de plicatura gástrica original (que también podría aplicarse a otros métodos de restricción, como la cirugía de manga gástrica) harán que sea un procedimiento más seguro y adaptable para su inclusión en procedimientos mixtos [24].…”