Caleb J Ba Mendoza1, Osamuyi Idubor1, Aisha Tabba1, Joel Miller1, Aliu Sanni, MD, FACS2. 1Philadelphia College of Osteopathic Medicine, 2Eastside Bariatric and General Surgery LLC
Introduction: Laparoscopic greater curvature plication (LGCP) is an emerging restrictive bariatric procedure that successfully reduces the gastric volume by folding of the greater curvature of the stomach. Laparoscopic Sleeve Gastrectomy (LSG) and LGCP have been both successfully performed in recent years. The aim of this study is to compare the clinical outcomes of LSG vs. LGCP.
Methods and Procedures: A systematic review was conducted through PubMed to identify pertinent studies from 2009-2016 with comparative data on patients who underwent LGCP and LSG. The outcomes analyzed were %EWL at 12 months, operative times and length of hospital stay. The results are expressed as standard difference in means with standard error. Statistical analysis was done using fixed-effects meta-analysis to compare the mean value of the two groups. (Comprehensive Meta-Analysis Version 3.3.070 software; Biostat Inc., Englewood, NJ).
Results: Five out of 215 studies were quantitatively assessed and included for meta-analysis. A total of 460 subjects underwent bariatric surgery; 221 had LGCP and 239 had LSG. The % EWL (-0.541 +/- 0.095, p <0.0001) was higher in the patients who underwent LSG when compared to LGCP. There was no difference in the mean operative times (0.073 +/- 0.095, p= 0.441) or hospital length of stay (-0.021 +/- 0.094, p= 0.825) between both group of patients.
Conclusion: LSG results in higher weight loss at 12months when compared to LGCP.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93603
Program Number: P116
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster