Laparoscopic Gastric Plication: A Long-Term Follow-Up and Comparison of Outcomes in Severe Vs. Non-Severe Obesity Publisher Pubmed



Najjari K¹ ; Fattahi MR² ; Bariklou A³ ; Najafi A³ ; Hasanzadeh A³ ; Talebpour M¹ ; Zabihi Mahmoudabadi H¹ ; Elyasinia F⁴ Show Affiliations
Source: American Journal of Surgery Published:2024

Abstract

Background: LGGCP is a non-gastrectomy, restrictive bariatric technique. This study aims to assess its long-term efficacy. Methods: This is a retrospective cohort study on LGGCP patients (2010–2019) from a single tertiary center, followed for up to 60 months. Results: Ninety-four patients with obesity were included in the study. The mean five-year postoperative BMI was 32.00. Excess weight loss (EWL): 30%–50% and EWL<30% occurred in 16 and 9 cases, respectively. The mean EWL was higher at 3-, 6-, and 12- months post-operation in patients with a BMI<40. Weight regain was 46.3% at the five-year follow-up. Eighty-seven patients had associated comorbidity, and 76 had improved in at least one of their comorbidities. Sixteen patients (17.0%) experienced complications. Conclusion: LGGCP is safe and effective, with benefits in patients with BMI<40. Thus, we suggest the usage of LGGCP, especially in this group of patients, due to its less-invasive nature and acceptable cost-benefit. Further studies with larger sample sizes are required for validation. © 2023 Elsevier Inc.