Abstract
LGP is a restrictive procedure recently introduced to the armamentarium of the bariatric surgeon. The operation follows a similar principle as the LSG, which is to construct a narrow gastric tube with restricted drainage from the pylorus. The surgical principle for LGP is to reduce the gastric capacity by folding the stomach onto itself with one or two layers of nonabsorbable sutures. No staplers are required, nor major gastric resection is performed. This makes for a less expensive approach with relatively low rate of complications. While early results have demonstrated efficient weight loss and metabolic control, there seems to be a marked tendency for revision surgery and conversion to more aggressive approaches because of inadequate weight loss control in the mid- and long term.
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References
Kirk RM. An experimental trial of gastric plication as a means of weight reduction in the rat. Br J Surg. 1969;56(12):930–3.
Tretbar LL, Taylor TL, Sifers EC. Weight reduction. Gastric plication for morbid obesity. J Kans Med Soc. 1976;77(11):488–90.
Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech A. 2007;17(6):793–8.
Esteban VJ, Nguyen NT. Laparoscopic sleeve gastrectomy leads the U.S. utilization of bariatric surgery at academic medical centers. Surg Obes Relat Dis. 2015;11(5):987–90.
Brethauer SA, Harris JL, Kroh M, Schauer PR. Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2011;7(1):15–22.
Talebpour M, Motamedi SM, Talebpour A, Vahidi H. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012;6:7.
Skrekas G, Antiochos K, Stafyla VK. Laparoscopic gastric greater curvature plication: results and complications in a series of 135 patients. Obes Surg. 2011;21(11):1657–63.
Verdi D, Prevedello L, Albanese A, et al. Laparoscopic gastric plication (LGCP) vs sleeve gastrectomy (LSG): a single institution experience. Obes Surg. 2015;25:1653–7.
Abdelbaki TN, Sharaan M, Abdel-Baki NA, et al. Laparoscopic gastric greater curvature plication versus laparoscopic sleeve gastrectomy: early out come in 140 patients. Surg Obes Relat Dis. 2014:1141–6.
Grubnik VV, Ospanov OB, Namaeva KA. Randomized controlled trial comparing laparoscopic greater curvature plication versus laparoscopic sleeve gastrectomy. Surg Endosc. 2016;30:2186–91.
Darabi S, Talebpour M, Zeinoddini A. Laparoscopic gastric plication versus mini-gastric bypass surgery in the treatment of morbid obesity: a randomized clinical trial. Surg Obes Relat Dis. 2013;9:914–9.
Ji Y, Wang Y, Zhu J, Shen D. A systematic review of gastric plication for the treatment of obesity. Surg Obes Relat Dis. 2014;10:1226–32.
Talebpour M, Talebpour A, Barzin G. Effects of laparoscopic gastric plication (LGP) in patients with type 2 diabetes, one year follow-up. J Diabetes Metab Disord. 2015;14:60.
Taha O. Efficacy of laparoscopic greater curvature plication for weight loss and type2 diabetes: 1-year follow-up. Obes Surg. 2012;22:1629–32.
Kourkoulos M, Emmanouil G, Charalampos K. Laparoscopic gastric plication for the treatment of morbid obesity: a review. Minim Invasive Surg. 2012;2012:696348.
Aminan A, Brethauer SA, Andalib A. Can sleeve gastrectomy “Cure” diabetes? Long-term metabolic effects of sleeve gastrectomy in patients with type 2 diabetes. Ann Surg. 2016;264(4):674–81.
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(11):2169–75.
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The authors thank Dr. Antonio López Corvalá for his help and images to produce this chapter.
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Ortega, S.O., Rueda, E.V., Pantoja, J.P., Sierra, M. (2018). Gastric Plication. In: Lutfi, R., Palermo, M., Cadière, GB. (eds) Global Bariatric Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-93545-4_12
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DOI: https://doi.org/10.1007/978-3-319-93545-4_12
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