Abstract
BACKGROUND
Laparoscopic gastric plication (LGP) is a relatively new restrictive bariatric procedure that requires no gastrectomy or foreign body placement.
OBJECTIVES
The authors' aim in this article is to conduct a systematic review of the currently available literature regarding the outcomes of LGP for the treatment of obesity.
SETTING
University Hospital, China
METHODS
The authors' systematic review yielded 14 studies encompassing 1,450 LGP patients. Perioperative data were collected from each study and recorded.
RESULTS
Mean preoperative body mass index (BMI) ranged from 31.2 to 44.5 kg/m(2), and 80.8% of the patients were female. Operative time ranged from 50 to 117.9 minutes (average 79.2 min). Hospital stay varied from .75 to 5 days (average 2.4 days). The percentage of excessive weight loss (%EWL) for LGP varied from 31.8% to 74.4% with follow-up from 6 months to 24 months. No mortality was reported in these studies and the rate of major complications requiring reoperation ranged from 0% to 15.4% (average 3.7 %).
CONCLUSION
Early reports with LGP are promising with a favorable short-term safety profile. However, it remains unclear if weight loss following LGP is durable in the long term. Additional prospective comparative trials and long-term follow-up are needed to further define the role of LGP in the surgical management of obesity.
TY - JOUR
T1 - A systematic review of gastric plication for the treatment of obesity.
AU - Ji,Yun,
AU - Wang,Yuedong,
AU - Zhu,Jinhui,
AU - Shen,Dijian,
Y1 - 2013/12/12/
PY - 2013/07/21/received
PY - 2013/11/19/revised
PY - 2013/12/09/accepted
PY - 2014/3/4/entrez
PY - 2014/3/4/pubmed
PY - 2015/9/10/medline
KW - Bariatric surgery
KW - Gastric plication
KW - Laparoscopy
KW - Obesity
SP - 1226
EP - 32
JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
JO - Surg Obes Relat Dis
VL - 10
IS - 6
N2 - BACKGROUND: Laparoscopic gastric plication (LGP) is a relatively new restrictive bariatric procedure that requires no gastrectomy or foreign body placement. OBJECTIVES: The authors' aim in this article is to conduct a systematic review of the currently available literature regarding the outcomes of LGP for the treatment of obesity. SETTING: University Hospital, China METHODS: The authors' systematic review yielded 14 studies encompassing 1,450 LGP patients. Perioperative data were collected from each study and recorded. RESULTS: Mean preoperative body mass index (BMI) ranged from 31.2 to 44.5 kg/m(2), and 80.8% of the patients were female. Operative time ranged from 50 to 117.9 minutes (average 79.2 min). Hospital stay varied from .75 to 5 days (average 2.4 days). The percentage of excessive weight loss (%EWL) for LGP varied from 31.8% to 74.4% with follow-up from 6 months to 24 months. No mortality was reported in these studies and the rate of major complications requiring reoperation ranged from 0% to 15.4% (average 3.7 %). CONCLUSION: Early reports with LGP are promising with a favorable short-term safety profile. However, it remains unclear if weight loss following LGP is durable in the long term. Additional prospective comparative trials and long-term follow-up are needed to further define the role of LGP in the surgical management of obesity.
SN - 1878-7533
UR - https://www.unboundmedicine.com/medline/citation/24582413/A_systematic_review_of_gastric_plication_for_the_treatment_of_obesity_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(13)00396-1
DB - PRIME
DP - Unbound Medicine
ER -
