Skip to main content

Advertisement

SpringerLink
Log in

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

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

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.

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
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14

Similar content being viewed by others

References

  1. WHO. Obesity and overweight. 2016. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/

  2. Smith KB, Smith MS. Obesity statistics. Prim Care. 2016;43:121–35. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26896205

    Article  PubMed  Google Scholar 

  3. Tran DD, Nwokeabia ID, Purnell S, et al. Revision of Roux-en-Y gastric bypass for weight regain: a systematic review of techniques and outcomes. Obes Surg. 2016;26:1627–34. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27138603

    Article  PubMed  Google Scholar 

  4. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. In: Colquitt JL, editor. Cochrane Database Syst. Rev. [Internet]. Chichester: Wiley; 2014. [cited 2015 Jul 21]. Available from: http://www.ncbi.nlm.nih.gov/m/pubmed/25105982/?i=2&from=/19726018/related.

    Google Scholar 

  5. Afonso BB, Rosenthal R, Li KM, Zapatier J, Szomstein S. Perceived barriers to bariatric surgery among morbidly obese patients. Surg Obes Relat Dis. 2010;6:16–21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20005784

  6. Fung M, Wharton S, Macpherson A, et al. Receptivity to bariatric surgery in qualified patients. J Obes. 2016;2016:1–6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27516900

    Article  Google Scholar 

  7. de Moura EGH, Lopes GS, da Costa Martins B, et al. Effects of duodenal-jejunal bypass liner (EndoBarrier®) on gastric emptying in obese and type 2 diabetic patients. Obes Surg. 2015;25:1618–25. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25691349

    Article  PubMed  Google Scholar 

  8. Choi HS, Chun HJ. Recent trends in endoscopic bariatric therapies. Clin Endosc. 2017;50:11–6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28147471

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kirk RM. An experimental trial of gastric plication as a means of weight reduction in the rat. Br J Surg. 1969;56:930–3.

    Article  PubMed  CAS  Google Scholar 

  10. Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech A. 2007;17:793–8. [cited 2011 Jul 21];Available from: http://www.ncbi.nlm.nih.gov/pubmed/18158812

    Article  PubMed  Google Scholar 

  11. Abdelbaki TN, Huang C-K, Ramos A, et al. Gastric plication for morbid obesity: a systematic review. Obes Surg. 2012;22:1633–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22960951

    Article  PubMed  Google Scholar 

  12. Committee CI. ASMBS policy statement on gastric plication. Surg Obes Relat Dis. 2011;7:262. Elsevier Inc.; [cited 2012 Aug 31];Available from: http://www.ncbi.nlm.nih.gov/pubmed/21621164

    Article  Google Scholar 

  13. Ji Y, Wang Y, Zhu J, et al. A systematic review of gastric plication for the treatment of obesity, Surg Obes Relat Dis. 10:1226–32. [Internet]. [cited 2015 Apr 22];Available from: http://www.ncbi.nlm.nih.gov/pubmed/24582413

  14. Tang Y, Tang S, Hu S. Comparative efficacy and safety of laparoscopic greater curvature plication and laparoscopic sleeve gastrectomy: a meta-analysis. Obes Surg. 2015;25:2169–75. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26311494

    Article  PubMed  Google Scholar 

  15. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ [Internet]. 2009;339:b2700. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19622552

  16. Davies S. The importance of PROSPERO to the National Institute for Health Research. Syst Rev. 2012;1:5. [cited 2018 Jan 15] Available from: http://www.ncbi.nlm.nih.gov/pubmed/22587962

    Article  PubMed  PubMed Central  Google Scholar 

  17. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17:1–12. [cited 2018 Jan 15]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/8721797

    Article  PubMed  CAS  Google Scholar 

  18. GA Wells, B Shea, D O’Connell, J Peterson, V Welch, M Losos PT. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [Internet]. [cited 2018 Jan 15]. Available from: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp.

  19. Higgins JPT, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–60. [cited 2018 Jan 15]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/12958120

    Article  PubMed  PubMed Central  Google Scholar 

  20. Abouzeid M, Taha O. Laparoscopic sleeve gastrectomy versus laparoscopic gastric greater curvature plication: a prospective randomized comparative study. Egypt J Surg. 2015;34:41. Available from: http://www.ejs.eg.net/article.asp?issn=1110-1121

    Article  Google Scholar 

  21. Sharma S, Narwaria M, Cottam DR, et al. Randomized double-blinded trial of laparoscopic gastric imbrication v laparoscopic sleeve gastrectomy at a single Indian institution. Obes Surg. 2015;25:800–4. Available from: http://link.springer.com/10.1007/s11695-014-1497-2

    Article  PubMed  Google Scholar 

  22. Grubnik V V, Ospanov OB, Namaeva KA, Medvedev O V, Kresyun MS. Randomized controlled trial comparing laparoscopic greater curvature plication versus laparoscopic sleeve gastrectomy. Surg Endosc [Internet]. 2016;30:2186–2191. Available from: http://link.springer.com/10.1007/s00464-015-4373-9

  23. 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;27:2768–74. [cited 2015 Apr 26] Available from: http://www.ncbi.nlm.nih.gov/pubmed/23443480

    Article  PubMed  Google Scholar 

  24. Morshed G, Abdalla H. Laparoscopic gastric plication versus laparoscopic sleeve gastrectomy. Med J Cairo Univ. 2011;79:4. Available from: http://www.medicaljournalofcairouniversity.com

    Google Scholar 

  25. Kuca K, Buzga M, Maresova P, et al. The influence of methods of bariatric surgery for treatment of type 2 diabetes mellitus. Ther Clin Risk Manag. 2016;12:599. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27143901

    Article  PubMed  PubMed Central  Google Scholar 

  26. Bin KS, Kim SM. Short-term analysis of food tolerance and quality of life after laparoscopic greater curvature plication. Yonsei Med J. 2016;57:–430. Available from: https://synapse.koreamed.org/DOIx.php?id=10.3349/ymj.2016.57.2.430

  27. Casajoana A, Pujol J, Garcia A, et al. Predictive value of gut peptides in T2D remission: randomized controlled trial comparing metabolic gastric bypass, sleeve gastrectomy and greater curvature plication. Obes Surg. 2017; Available from: http://www.ncbi.nlm.nih.gov/pubmed/28451931;27:2235–45.

    Article  PubMed  Google Scholar 

  28. Bužga M, Švagera Z, Tomášková H, et al. Metabolic effects of sleeve gastrectomy and laparoscopic greater curvature plication: an 18-month prospective, observational, open-label study. Obes Surg. 27:3258–66. [Internet]. 2017 [cited 2018 Jan 15] Available from: http://link.springer.com/10.1007/s11695-017-2779-2

  29. 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. 2017 [cited 2018 Jan 15]; Available from: http://link.springer.com/10.1007/s11695-017-2951-8;28:996–1001.

    Article  Google Scholar 

  30. Ye Q, Chen Y, Zhan X, et al. Comparison of laparoscopic sleeve gastrectomy and laparoscopic greater curvature plication regarding efficacy and safety: a meta-analysis. Obes Surg. 2017;27:1358–64. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28281232

    Article  PubMed  Google Scholar 

  31. Abdelbaki TN. An insight on the superior outcome of sleeve gastrectomy over gastric plication. Surg Obes Relat Dis. 2015;11:733–4. [cited 2015 Jun 27]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/25868839

    Article  PubMed  Google Scholar 

  32. 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;6:7. [cited 2012 Aug 31];Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3444326&tool=pmcentrez&rendertype=abstract

    Article  PubMed  PubMed Central  Google Scholar 

  33. Wang Y, Liu J. Plasma ghrelin modulation in gastric band operation and sleeve gastrectomy. Obes Surg. 2009;19:357–62. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18841429

    Article  PubMed  Google Scholar 

  34. Langer FB, Reza Hoda MA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15:1024–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16105401

    Article  PubMed  CAS  Google Scholar 

  35. Doležalova-Kormanova K, Buchwald JN, Skochova D, et al. Five-year outcomes: laparoscopic greater curvature plication for treatment of morbid obesity. Obes Surg. 2017;27:2818–28. cited 2018 Apr 10] Available from: http://www.ncbi.nlm.nih.gov/pubmed/28560523

    Article  PubMed  Google Scholar 

  36. Slotman GJ. Prospectively validated preoperative prediction of weight and co-morbidity resolution in individual patients comparing five bariatric operations. Surg Obes Relat Dis. 2017;13:1590–7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28583814

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Gastroenterology Department, University of São Paulo, CEP, São Paulo, SP, 05403-900, Brazil

    Sergio Barrichello, Mauricio Kazuyoshi Minata, Wanderley Marques Bernardo, Thiago Ferreira de Souza, Diogo Turiani Hourneaux de Moura, Marco Aurélio Santo & Eduardo Guimarães Hourneaux de Moura

  2. Servei de Cirurgia General i de l’Aparell Digestiu, Hospital Universitari de Bellvitge, Barcelona, Spain

    Amador García Ruiz de Gordejuela

  3. Florida International University, Miami, USA

    Manoel Galvão Neto

Authors
  1. Sergio Barrichello
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mauricio Kazuyoshi Minata
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Amador García Ruiz de Gordejuela
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Wanderley Marques Bernardo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Thiago Ferreira de Souza
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Manoel Galvão Neto
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Diogo Turiani Hourneaux de Moura
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Marco Aurélio Santo
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Eduardo Guimarães Hourneaux de Moura
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sergio Barrichello.

Ethics declarations

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.

Electronic Supplementary Material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Barrichello, S., Minata, M.K., García Ruiz de Gordejuela, A. et al. Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy Treatments for Obesity: Systematic Review and Meta-Analysis of Short- and Mid-Term Results. OBES SURG 28, 3199–3212 (2018). https://doi.org/10.1007/s11695-018-3330-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-018-3330-9

Keywords

Search

Navigation