Skip to main content

Advertisement

SpringerLink
Log in

Comparison of Short-Term Effectiveness and Postoperative Complications: Laparoscopic Gastric Plication vs Laparoscopic Sleeve Gastrectomy

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Introduction

Bariatric surgeries are the only effective long-term treatment in obese patients. The innovation of laparoscopic gastric plication (LGP) raised some questions about its effectiveness compared to traditionally used techniques such as laparoscopic sleeve gastrectomy (LSG). We tried to answer some of these questions.

Materials and Methods

We investigated 70 patients in a randomized clinical trial (IRCT2013123012294N5) from 2012 to 2015. Thirty-five patients were randomly assigned to each LSG or LGP group, using sealed envelope method. The body mass index (BMI) reduction and the percentage of excess weight loss (%EWL) along with %total body weight loss (%TWL) were primary endpoint and were assessed at follow-up periods. We recorded postoperative complications, as well.

Results

Two-year follow-up rate was 100%. There were no statistically significant differences between the two groups in means of preoperative BMI. Also, postoperative follow-ups were not suggestive for a significant difference in BMI (all p values > 0.05). The mean %EWL at follow-ups showed no significant difference at any point, except for 3 and 6 months after surgery (p value = 0.002 and 0.017, respectively). This finding was confirmed by %TWL trend in 12 months after surgery. LSG patients were readmitted more than LGP patients (seven cases vs one case, p value = 0.024). Postoperative complications such as nausea and vomiting, hair loss, iron deficiency, vitamin D deficiency, and cholelithiasis were not different between the two groups. There was one death in the LGP group due to pulmonary thromboembolism.

Conclusions

LGP showed to be efficient regarding %EWL and %TWL reduction in short-term follow-ups with comparable postoperative complications to LSG.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Prentice AM. The emerging epidemic of obesity in developing countries. Int J Epidemiol. 2006;35(1):93–9.

    Article  PubMed  Google Scholar 

  2. Ahluwalia JS, Chang P-C, Tai C-M, et al. Comparative study between laparoscopic adjustable gastric banded plication and sleeve gastrectomy in moderate obesity—2 year results. Obes Surg. 2016;26(3):552–7.

  3. World Health O. Obesity: preventing and managing the global epidemic: World Health Organization; 2000.

  4. Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. New Engl J Med. 2007;357(8):741–52.

    Article  PubMed  Google Scholar 

  5. DeMaria EJ. Bariatric surgery for morbid obesity. N Engl J Med. 2007;356(21):2176–83.

    Article  CAS  PubMed  Google Scholar 

  6. Ramos A, Neto MG, Galvao M, et al. Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure. Obes Surg. 2010;20(7):913–8.

    Article  PubMed  Google Scholar 

  7. Jacobs M, Bisland W, Gomez E, et al. Laparoscopic sleeve gastrectomy: a retrospective review of 1- and 2-year results. Surg Endosc. 2010;24(4):781–5.

    Article  PubMed  Google Scholar 

  8. Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Int Med. 2005;142(7):547–59.

    Article  PubMed  Google Scholar 

  9. Colquitt JL, Picot J, Loveman E, et al Surgery for obesity. Cochr Database Syst Rev. 2009;2(2).

  10. Shen D, Ye H, Wang Y, et al. Comparison of short-term outcomes between laparoscopic greater curvature plication and laparoscopic sleeve gastrectomy. Surg Endosc. 2013;27(8):2768–74.

    Article  PubMed  Google Scholar 

  11. Tretbar L, Taylor T, Sifers E. Weight reduction. Gastric plication for morbid obesity. J Kans Med Soc. 1976;77(11):488–90.

    CAS  PubMed  Google Scholar 

  12. Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech. 2007;17(6):793–8.

    Article  Google Scholar 

  13. Picot J, Jones J, Colquitt J, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess (Winchester, England). 2009;13(41):1–190.

    CAS  Google Scholar 

  14. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.

    Article  CAS  PubMed  Google Scholar 

  15. Fried M, Dolezalova K, Buchwald JN, et al. Laparoscopic greater curvature plication (LGCP) for treatment of morbid obesity in a series of 244 patients. Obes Surg. 2012;22(8):1298–307.

    Article  CAS  PubMed  Google Scholar 

  16. Talebpour M, Motamedi SMK, Talebpour A, et al. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012;6(1):1.

    Article  Google Scholar 

  17. Talebpour M, Talebpour A, Barzin G, et al. Effects of laparoscopic gastric plication (LGP) in patients with type 2 diabetes, one year follow-up. J Diabetes Metab Disord. 2015;14(1):60.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Abdelbaki TN, Huang C-K, Ramos A, et al. Gastric plication for morbid obesity: a systematic review. Obes Surg. 2012;22(10):1633–9.

    Article  PubMed  Google Scholar 

  19. Verdi D, Prevedello L, Albanese A, et al. Laparoscopic gastric plication (LGCP) vs sleeve gastrectomy (LSG): a single institution experience. Obes Surg. 2015;25(9):1653–7.

    Article  PubMed  Google Scholar 

  20. Kourkoulos M, Giorgakis E, Kokkinos C, Mavromatis T, Griniatsos J, Nikiteas N, et al. Laparoscopic gastric plication for the treatment of morbid obesity: a review. Minimally Invasive Surg. 2012;2012.

  21. Tsang A, Jain V. Pitfalls of bariatric tourism: a complication of gastric plication. Surg Obes Relat Dis. 2012;8(6):e77–e9.

    Article  PubMed  Google Scholar 

  22. Gebelli JP, de Gordejuela AGR, Badía AC, et al. Laparoscopic gastric plication: a new surgery for the treatment of morbid obesity. Cirugía Española (Engl Ed). 2011;89(6):356–61.

    Google Scholar 

  23. Skrekas G, Antiochos K, Stafyla VK. Laparoscopic gastric greater curvature plication: results and complications in a series of 135 patients. Obes Surg. 2011;21(11):1657–63.

    Article  PubMed  Google Scholar 

  24. Brethauer SA, Harris JL, Kroh M, et al. Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2011;7(1):15–22.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank research development center of Sina Hospital and primary prevention of cardiovascular disease research center for their kind contributions in every step of performing this study.

Author information

Authors and Affiliations

  1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Mohammad Talebpour, Atieh Talebpour, Amirsina Sharifi & Farzad Vaghef Davari

  2. Hasan Abad Square, Sina Hospital, Tehran, Iran

    Donya Sadid

Authors
  1. Mohammad Talebpour
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Donya Sadid
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Atieh Talebpour
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Amirsina Sharifi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Farzad Vaghef Davari
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Donya Sadid.

Ethics declarations

Conflict of Interest

All authors declare that they have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all the patients participated in the study (General note#2).

Statement of Human and Animal Rights/Ethical Approval

The institutional review board and the ethic committee of Tehran University of Medical Sciences approved the study protocol for Human rights (General note#2).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Talebpour, M., Sadid, D., Talebpour, A. et al. Comparison of Short-Term Effectiveness and Postoperative Complications: Laparoscopic Gastric Plication vs Laparoscopic Sleeve Gastrectomy. OBES SURG 28, 996–1001 (2018). https://doi.org/10.1007/s11695-017-2951-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-017-2951-8

Keywords

Search

Navigation