Laparoscopic Greater Curvature Plication for the Treatment of Obesity: a Systematic Review
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Laparoscopic Greater Curvature Plication for the Treatment of Obesity: a Systematic Review Toni El Soueidy 1 & Radwan Kassir 2 & Mary Nakhoul 3 & Axel Balian 4 & Marco Nunziante 2 & Maissa Safieddine 5 & Gabriel Perlemuter 4,6 & Panagiotis Lainas 1,6 & Ibrahim Dagher 1,6 Received: 14 July 2020 / Revised: 29 October 2020 / Accepted: 10 November 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background During the last decade, laparoscopic greater curvature plication (LGCP) has been used as a bariatric procedure for the treatment of obesity, regarded as less invasive and less expensive than other surgical bariatric procedures. We aimed to systematically review the literature and highlight recent clinical data regarding outcomes of LGCP in the treatment of obesity. Methods A comprehensive research of Pubmed database on LGCP was performed. The search was conducted on the first of May 2020 and was not limited to any date range. Outcomes of interest were surgical technique, postoperative complications, weight loss outcomes, comorbidities improvement or resolution, and revisional surgeries after technical failure or weight regain. Results Fifty-three articles were eligible for inclusion, with 3103 patients undergoing LGCP (mean age: 13.8–55 years). Mean preoperative body mass index (BMI) ranged from 31.2 to 47.8 kg/m2. Mean operative time ranged from 48 to 193 min. Length of hospital stay ranged from 0.75 to 7.2 days. Most studies provided postoperative follow-up up to 12 months. Mean percentage of excess weight loss (%EWL) ranged from 30.2 to 71.1% and 35 to 77.1% at 6 and 12 months post-LGCP, respectively. Only one study followed patients for more than 10 years and mean %EWL at 1, 5, and 10 years was 67%, 55%, and 42%, respectively. Conclusion LGCP seems to be an acceptable surgical procedure for the treatment of obesity, especially in centers having a low medical budget. However, most existing comparative studies report superiority of LSG regarding weight loss. Keywords Gastric plication . Greater curvature plication . Vertical gastric plication . Bariatric surgery . Obesity . Review
Introduction Toni El Soueidy and Radwan Kassir contributed equally to this work. Radwan Kassir and Toni El Soueidy are shared the first authorship * Radwan Kassir [email protected] 1
Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, Assistance Publique – Hôpitaux de Paris, F-92140 Clamart, France
2
Department of Bariatric Surgery, CHU de la Réunion, Saint Denis, de la Réunion, France
3
Department of Gastroenterology, Saint-Joseph Hospital, Paris, France
4
Department of Hepatogastroenterology, Antoine-Beclere Hospital, Assistance Publique – Hôpitaux de Paris, F-92140 Clamart, France
5
Methodological Support Unit, INSERM, CIC1410, CHU Felix-Guyon, St-Denis, La Réunion, France
6
Paris-Saclay University, F-91405 Orsay, France
Obesity represents a major worldwide public health concern, reaching more than 1.7 billion people around the glo
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