Laparoscopic Gastric Plication (LGP) as an Alternative to Laparoscopic Sleeve Gastrectomy (LSG) in Patients with Morbid Obesity: A Preliminary, Short-Term, Case-Control Study

Abstract

LGP for patients with severe obesity is safe and feasible with low rates of serious complications. As compared to LSG, LGP is associated to higher postoperative rate of nausea, lower operative cost, and lower EWL at 18-month follow-up (P = 0.041).

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

“…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.…”

“…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.…”

“…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.…”

Laparoscopic Gastric Plication vs Laparoscopic Sleeve Gastrectomy - A Single Center, Prospective and Case-Control Study

“…However, it is well known that in Romania the average cost of LSG surgery is much higher than LGP. Data regarding the costs are unofficial and generally provided by private medical centers, but they correspond to already published results (26). Therefore, the financial variable favors LGP in this regard as a significantly cheaper intervention compared to other bariatric operations, including LSG.…”

“…The recent literature includes several studies that analyze short-and medium-term outcomes after LGP. However, the conclusions are contradictory and justify the maintenance of this surgery under investigation (11,14). Furthermore, there are few comparative studies of LGP and LSG procedures with a follow-up longer than three years (12)(13)(14)(15)(16).…”