Clinical Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: a Case-Matched Control Study

Background Laparoscopic greater curvature plication (LGCP) is a new bariatric procedure that is similar to laparoscopic sleeve gastrectomy (LSG) in that it uses a restrictive mechanism. Comparative studies between LGCP and LSG were still limited. The aim of this study was to compare the clinical out...

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Bibliographic Details
Published in:Obesity surgery 2019-02, Vol.29 (2), p.387-393
Main Authors: Li, Yu-Hsien, Wang, Bing-Yen, Huang, Yu-Ching, Tsao, Lien-Cheng, Chan, Chien-Pin, Huang, Cheng-Yen, Chang, Hung-Chi
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Case-Control Studies
Clinical outcomes
Comorbidity
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrectomy - statistics & numerical data
Humans
Jejunoileal Bypass - adverse effects
Jejunoileal Bypass - methods
Jejunoileal Bypass - statistics & numerical data
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Operative Time
Original Contributions
Postoperative Complications - epidemiology
Retrospective Studies
Surgery
Treatment Outcome
Weight control
Weight Loss
Young Adult
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Summary:Background Laparoscopic greater curvature plication (LGCP) is a new bariatric procedure that is similar to laparoscopic sleeve gastrectomy (LSG) in that it uses a restrictive mechanism. Comparative studies between LGCP and LSG were still limited. The aim of this study was to compare the clinical outcomes of the two procedures based on the same clinical conditions. Methods From January 2012 to December 2015, 260 patients with morbid obesity underwent LGCP and LSG in a single center. Data on patient demography, operation time, complications, hospital stay, body mass index loss, percentage of excess weight loss (%EWL), and improvement in comorbidities were collected. A propensity-matched analysis, incorporating pre-operative variables, was used to compare the short-term outcomes between LGCP and LSG. Results Propensity matching produced 48 patients in each group. Patients who underwent LGCP were predominately female (75.5%, 41.1% of the LSG patients were female, p  = 0.028). Baseline BMI and excess weight were significantly lower in the LGCP group ( p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-018-3527-y