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Laparoscopic gastric greater curvature plication versus laparoscopic sleeve gastrectomy: early outcome in 140 patients.
Surg Obes Relat Dis. 2014 Nov-Dec; 10(6):1141-6.SO

Abstract

BACKGROUND

Laparoscopic gastric greater curvature plication (LGGCP) is a novel bariatric procedure. Its outcome as a standalone procedure has been studied in the literature. We herein describe a comparative study between LGGCP versus laparoscopic sleeve gastrectomy (LSG). The objective of this study was to analyze %excess weight loss (%EWL), co-morbidity improvement and complication rate in both groups at 1, 3, 6, 12 months follow-up.

METHODS

Retrospective study of 140 patients undergoing LGGCP and LSG between July 2011 and March 2012 at University of Alexandria, Egypt. Data on patient demography, operative time, length of stay, body mass index (BMI) were collected.

RESULTS

Baseline characteristics were similar for both groups, except for preoperative BMI that was higher among the LSG group. Follow up rate was 98% (n = LGCCP: 68 - LSG: 69) at 6 months and 81% (n = LGGCP: 54 - LSG: 60) at 1 year. The mean operative time and mean length of stay were longer in the LSG group (P = .03) and (P = .02), respectively. There were 4 (6.5%) readmissions and 2 (3.2%) reoperations in the LGGCP group compared to 3 (3.8%) readmission and 2 (2.6%) reoperations in the LSG group. At 6 months follow-up the mean %EWL for LGGCP and LSG was 40.4±11.9% and 47.1±13.9% (P<.001), while at 1 year it was 52.1±15.1% and 68.1±15.8% (P<.001), respectively. Both techniques showed similar results in co-morbidity improvement at 1 year.

CONCLUSION

In the short term, both techniques were comparable as regards to co-morbidity resolution. However, LSG appears to have achieved a higher weight loss.

Authors+Show Affiliations

Department of Surgery, University of Alexandria Faculty of Medicine, Alexandria, Egypt. Electronic address: tamerbaki@hotmail.com.Department of Surgery, University of Alexandria Faculty of Medicine, Alexandria, Egypt.Department of Surgery, University of Alexandria Faculty of Medicine, Alexandria, Egypt.Department of Surgery, University of Alexandria Faculty of Medicine, Alexandria, Egypt.

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

25066442

Citation

Abdelbaki, Tamer N., et al. "Laparoscopic Gastric Greater Curvature Plication Versus Laparoscopic Sleeve Gastrectomy: Early Outcome in 140 Patients." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 6, 2014, pp. 1141-6.
Abdelbaki TN, Sharaan M, Abdel-Baki NA, et al. Laparoscopic gastric greater curvature plication versus laparoscopic sleeve gastrectomy: early outcome in 140 patients. Surg Obes Relat Dis. 2014;10(6):1141-6.
Abdelbaki, T. N., Sharaan, M., Abdel-Baki, N. A., & Katri, K. (2014). Laparoscopic gastric greater curvature plication versus laparoscopic sleeve gastrectomy: early outcome in 140 patients. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(6), 1141-6. https://doi.org/10.1016/j.soard.2014.03.014
Abdelbaki TN, et al. Laparoscopic Gastric Greater Curvature Plication Versus Laparoscopic Sleeve Gastrectomy: Early Outcome in 140 Patients. Surg Obes Relat Dis. 2014 Nov-Dec;10(6):1141-6. PubMed PMID: 25066442.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic gastric greater curvature plication versus laparoscopic sleeve gastrectomy: early outcome in 140 patients. AU - Abdelbaki,Tamer N, AU - Sharaan,Mohamed, AU - Abdel-Baki,Nabil A, AU - Katri,Khaled, Y1 - 2014/03/28/ PY - 2013/12/12/received PY - 2014/03/12/revised PY - 2014/03/17/accepted PY - 2014/7/29/entrez PY - 2014/7/30/pubmed PY - 2015/9/10/medline KW - Gastric plication KW - Greater curvature plication KW - Laparoscopy KW - Sleeve gastrectomy SP - 1141 EP - 6 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 greater curvature plication (LGGCP) is a novel bariatric procedure. Its outcome as a standalone procedure has been studied in the literature. We herein describe a comparative study between LGGCP versus laparoscopic sleeve gastrectomy (LSG). The objective of this study was to analyze %excess weight loss (%EWL), co-morbidity improvement and complication rate in both groups at 1, 3, 6, 12 months follow-up. METHODS: Retrospective study of 140 patients undergoing LGGCP and LSG between July 2011 and March 2012 at University of Alexandria, Egypt. Data on patient demography, operative time, length of stay, body mass index (BMI) were collected. RESULTS: Baseline characteristics were similar for both groups, except for preoperative BMI that was higher among the LSG group. Follow up rate was 98% (n = LGCCP: 68 - LSG: 69) at 6 months and 81% (n = LGGCP: 54 - LSG: 60) at 1 year. The mean operative time and mean length of stay were longer in the LSG group (P = .03) and (P = .02), respectively. There were 4 (6.5%) readmissions and 2 (3.2%) reoperations in the LGGCP group compared to 3 (3.8%) readmission and 2 (2.6%) reoperations in the LSG group. At 6 months follow-up the mean %EWL for LGGCP and LSG was 40.4±11.9% and 47.1±13.9% (P<.001), while at 1 year it was 52.1±15.1% and 68.1±15.8% (P<.001), respectively. Both techniques showed similar results in co-morbidity improvement at 1 year. CONCLUSION: In the short term, both techniques were comparable as regards to co-morbidity resolution. However, LSG appears to have achieved a higher weight loss. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/25066442/Laparoscopic_gastric_greater_curvature_plication_versus_laparoscopic_sleeve_gastrectomy:_early_outcome_in_140_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(14)00136-1 DB - PRIME DP - Unbound Medicine ER -