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

Verdi, Daunia; Prevedello, Luca; Albanese, Alessio; Lobba, Andrea; Foletto, Mirto

doi:10.1007/s11695-015-1600-3

Cited by 28 publications

(23 citation statements)

References 17 publications

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“…With the improvement of surgical techniques and endostapling devices, LSG had become a popular procedure for morbid obesity. According to previous studies [12][13][14][15][16][17][18][19][20][21], 53.8-80% of excess weight loss was obtained at 12 months postoperatively, and a similar result of 66.08% was noted in our study. However, the resection of the stomach with a long staple line was also accompanied by the innate risk of postoperative bleeding and leakage.…”

Section: Discussionsupporting

confidence: 91%

“…Thus, the risk of bleeding or leakage might be reduced. As for weight reduction in LGCP, previous studies [12][13][14][15][16][17][18][19][20][21] showed that a 42.1-58.8% excess weight loss was obtained at 12 months after surgery. In our study, a comparable outcome of 48.02% was noted.…”

Section: Discussionmentioning

confidence: 99%

“…The two procedures are similar in that they use restrictive mechanisms of weight loss. Several studies have been proposed for the comparison of the long-term outcomes and perioperative complications of the two procedures [12][13][14][15][16][17][18][19][20][21][22]. However, LGCP was thought to be less invasive and was recommended to patients with lower body mass indexes and fewer comorbidities.…”

Section: Introductionmentioning

confidence: 99%

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

Wang

Huang

et al. 2018

OBES SURG

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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 (

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Wang

Huang

et al. 2018

OBES SURG

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“…At present, data comparing LGCP to LSG showed that LGCP is less effective in terms of weight loss already at midterm results. 12,13 In the present series, weight loss was considered unsatisfactory in patients with %EBL < 50%. This was always associated with evidence of gastric prolapse.…”

Section: Discussionmentioning

confidence: 85%

Laparoscopic Gastric Plication: An Emerging Bariatric Procedure with High Surgical Revision Rate

Albanese

Prevedello

Verdi

et al. 2015

Bariatric Surgical Practice and Patient Care

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Laparoscopic gastric plication (LGCP) reduces gastric volume without resecting or implanting a foreign body. Although still considered investigational, it could be appropriate for young patients with a low body mass index (BMI) and for those unwilling to undergo sleeve gastrectomy, gastric banding, or bypass. The aim of this study was to assess the mid-term results (2 years) of LGCP in terms of safety and efficacy. A total of 56 obese patients (47 female; mean age=30.5±11.7 years; mean BMI=40.31±4.7 kg/m) were candidates for LGCP from January 2011 to October 2013. Early and late complications, BMI, and excess BMI loss (EBL) were prospectively recorded at 3, 6, 9, 12, 18, and 24 months follow-up. Mean operative time was 72.4±15.6 minutes. No conversion was required. Mean hospital stay was 3 days. Mean %EBL was 34.3±18.40%, 40.1±24.5%, 47.4±30.2%, 46.5±34.6%, 47.8±43.2%, and 55.3±53.6% at 3, 6, 9, 12, 18, and 24 months, respectively. The overall complication rate was 32.14%. Perioperative mortality was zero. Surgical revision was needed in 30 patients: 12 for unsatisfactory weight loss and 18 for gastric prolapse (one acute within 30 days), respectively. LGCP showed high complication rates requiring surgical revision.

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“…In the study of Verdi et al [13], 12 out of the 13 reported major morbidities are of the same Bnature^, thus gastric wall prolapse/invagination. We could not ascertain there was an intrinsic flaw in LGCP that was related to this kind of complication or these major morbidities were just caused by inexperience.…”

Section: Discussionmentioning

confidence: 95%

Comparative Efficacy and Safety of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: A Meta-analysis

Tang

2015

OBES SURG

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Laparoscopic greater curvature plication (LGCP) is considered to have evolved from less invasive laparoscopic sleeve gastrectomy (LSG). In the present meta-analysis, we compared these two procedures in terms of efficacy and safety. We searched PubMed, Embase, and the Cochrane Library from database inception until April 2015. Excess weight loss (%EWL), resolution of obesity-related comorbidities, adverse events, operation time, and postoperative hospital stay were evaluated using the software Review Manager 5.3. The following four studies were eligible for inclusion: one randomized controlled trial and three non-randomized controlled trials involving 299 patients. Our meta-analysis demonstrated a significantly greater %EWL after LSG than LGCP at the follow-up time points of 3 months (Z = 2.26, p = 0.02), 6 months (Z = 4.49, p < 0.00001), and 12 months (Z = 6.99, p < 0.00001). The difference in the resolution of diabetes mellitus between these two approaches did not reach statistical significance (p = 0.66). According to the pooled data, LGCP was associated with more adverse events than was LSG (p = 0.01). The operation time (p = 0.54) and postoperative hospital stay (p = 0.44) were comparable between the two groups. LGCP is inferior to LSG not only in terms of providing effective weight loss but also in terms of safety.

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

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

Cited by 28 publications

References 17 publications

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

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

Laparoscopic Gastric Plication: An Emerging Bariatric Procedure with High Surgical Revision Rate

Comparative Efficacy and Safety of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: A Meta-analysis

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