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Obesity Surgery

, Volume 28, Issue 10, pp 3199–3212 | Cite as

Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy Treatments for Obesity: Systematic Review and Meta-Analysis of Short- and Mid-Term Results

  • Sergio Barrichello
  • Mauricio Kazuyoshi Minata
  • Amador García Ruiz de Gordejuela
  • Wanderley Marques Bernardo
  • Thiago Ferreira de Souza
  • Manoel Galvão Neto
  • Diogo Turiani Hourneaux de Moura
  • Marco Aurélio Santo
  • Eduardo Guimarães Hourneaux de Moura
Original Contributions

Abstract

Background

Laparoscopic greater curvature plication (LGP) has recently emerged as a new bariatric procedure. This surgery provides gastric restriction without resection, which could potentially provide a lower risk alternative, with fewer complications. The real benefit of this technique in the short and long term is unknown. This systematic review aims to compare laparoscopic gastric plication and laparoscopic sleeve gastrectomy for obesity treatment.

Methods

Clinical trials were identified in MEDLINE, Embase, Cochrane, LILACS, BVS, SCOPUS, and CINAHL databases. Comparison of LGP and laparoscopic sleeve gastrectomy (SG) included hospital stay, operative time, loss of hunger feeling, body mass index loss (BMIL), percentage of excess weight loss (%EWL), complications, symptoms in the postoperative period, and comorbidity remission or improvement.

Results

This systematic review search included 17,423 records. Eight studies were selected for meta-analysis. There is no difference in operative time, hospital stay, and complications. Patients in the SG group had improved loss of hunger feeling. BMIL was better in the SG group at 12 and 24 months [mean difference (MD) − 2.19, 95% confidence interval (CI) − 3.10 to − 1.28, and MD − 4.59, 95% CI − 5.55 to − 3.63, respectively]. SG showed improved %EWL compared with gastric plication in 3, 6, 12, and 24 months. However, no difference was found in %EWL long-term results (24 and 36 months). Patients who underwent LGP had more sialorrhea. SG showed better results in diabetes remission.

Conclusions

SG showed improved weight loss when compared with LGP, with better satiety, fewer symptoms in the postoperative period, and improved diabetes remission.

Keywords

Obesity Bariatric surgical procedures Weight loss Systematic review Meta-analysis 

Notes

Compliance with Ethical Standards

Conflict of Interest

Manoel Galvao Neto, MD, is consultant for these companies: Ethicon Endosurgery®, Apollo Endosurgery®, GI Windows®, and GI Dynamics®. All the other authors have nothing to declare.

Ethical Approval Statement

For this type of study, formal consent is not required.

Informed Consent Statement

This is not applicable to this study.

Supplementary material

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Sergio Barrichello
    • 1
  • Mauricio Kazuyoshi Minata
    • 1
  • Amador García Ruiz de Gordejuela
    • 2
  • Wanderley Marques Bernardo
    • 1
  • Thiago Ferreira de Souza
    • 1
  • Manoel Galvão Neto
    • 3
  • Diogo Turiani Hourneaux de Moura
    • 1
  • Marco Aurélio Santo
    • 1
  • Eduardo Guimarães Hourneaux de Moura
    • 1
  1. 1.Gastrointestinal Endoscopy Unit, Gastroenterology DepartmentUniversity of São PauloSão PauloBrazil
  2. 2.Servei de Cirurgia General i de l’Aparell DigestiuHospital Universitari de BellvitgeBarcelonaSpain
  3. 3.Florida International UniversityMiamiUSA

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