Laparoscopic Greater Curvature Plication (LGCP) for Treatment of Morbid Obesity in a Series of 244 Patients

Fried, Martin; Dolezalová, K; Buchwald, J. N.; McGlennon, T. W.; Šrámková, Petra; Ribaric, G.

doi:10.1007/s11695-012-0684-2

“…The current evidence on laparoscopic gastric plication for severe obesity raises no major safety concerns in short-to-medium term but more evidence is needed about the long-term efficacy of the procedure (EL B [129][130][131][132][133][134] ).…”

Section: Adjustable Gastric Banding (Agb) -Sleeve Gastrectomy (Sg) mentioning

confidence: 99%

Interdisciplinary European guidelines on metabolic and bariatric surgery

Fried

¹

,

Yumuk

²

,

Jm³

et al. 2017

View full text Add to dashboard Cite

In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

show abstract

“…Recent procedures in which long-term outcome data is not yet available include: Laparoscopic gastric plication (LGP) in which infolding of the greater curvature of the stomach leads to tubularizing the stomach through intraluminal tissue fold. The current evidence on laparoscopic gastric plication for severe obesity raises no major safety concerns in short-to-medium term but more evidence is needed about the long-term efficacy of the procedure (EL B [129][130][131][132][133][134] ).…”

Section: Surgical Techniques Overviewmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Fried

¹

,

Yumuk

²

,

Oppert

³

et al. 2013

Self Cite

View full text Add to dashboard Cite

In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

show abstract

“…7 Fried et al found that there were no differences between single-row plications and two-row plications in terms of weight loss and complication rates. 5 It is recommended that the plication is better to be done in at least two rows. Two-row plication is not only more effective and durable but also helps to make a better plication with uniform tension and to avoid the herniation of gastric wall between stitches.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic gastric plication: towards standardization

Ibrahim

¹

,

Elgeidie

²

,

Hak

³

2017

View full text Add to dashboard Cite

Background: Laparoscopic gastric plication (LGP) is a restrictive bariatric procedure which was found to be safe, effective and economic as well. However, it hasn't a good reputation among some bariatric surgeons due to some reasons; the most important of them is lack of standardization. Objective of the present stud was to study propose a standardized technique for LGP aiming at a better outcome. Setting. Settings: University-affiliated hospital.Methods: This is a retrospective analysis of patients who underwent LGP by the proposed technique., using seromuscular bites with non-absorbable thread, adoption of the four-bite technique, and calibration using bougie.Results: Eighty-eight consecutive morbidly obese patients had been operated by the proposed standardized technique of LGP between March 2010 and September 2014. There were 19 men and 69 women, with a mean age of 30.3 years and a mean BMI of 36.7kg/m2 (range 32-51kg/m2). The most frequently reported complication was prolonged early postoperative nausea/vomiting occurred in 5 of 88 (5.7%) patients. Weight regain was reported in one patient who was treated with conversion of LGP to laparoscopic mini-gastric bypass. Hospital stay was prolonged for a mean of 6.0 (3 -10 days). Postoperative follow-up period ranged from 2 to 38 months with a mean of 15 months. Percentage of excess weight loss was 38.2%, 52.0%, and 63.1% at 3, 6, and 12 months, respectively.Conclusions: The proposed technique of LGP would help in standardization of the procedure in order to improve the outcome; however, the clinical application of this proposed standardized technique should be tested by future studies.

show abstract

Laparoscopic Greater Curvature Plication (LGCP) for Treatment of Morbid Obesity in a Series of 244 Patients

Abstract: Over the short term, LGCP results in effective weight loss and significant T2DM reduction with a very low rate of complications.

Cited by 56 publications

References 24 publications

Interdisciplinary European guidelines on metabolic and bariatric surgery

Interdisciplinary European guidelines on metabolic and bariatric surgery

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Laparoscopic gastric plication: towards standardization

Contact Info

Product

Resources

About