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Laparoscopic Greater Curvature Plication versus Laparoscopic Sleeve Gastrectomy: Long-term Results of Prospective Randomized Trial

V.v. Grubnik1, O.b. Ospanov2, O.v. Medvedev1, A.m. Orekesheva2, M.s. Kresun1. 1Odessa national medical university, Ukraine, 2Medical university Astana, Kazakhstan

INTRODUCTION: Laparoscopic greater curvature placation (LGCP) is a new restrictive bariatric procedure with a similar restrictive mechanism as laparoscopic sleeve gastrectomy (LSG), which has no potential risk of leak. Aim of the study was to compare long-term results of LSG and LGCP.

METHODS AND PROCEDURES: Multicenter prospective randomized study enrolled 54 patients with morbid obesity. They were allocated either to LGCP group (n=25) or LSG group (n=27). Main exclusion criteria were: ASA > III, age > 75, BMI>65 kg/m2. There were 40 women and 12 men, mean age was 42,6±6,8 years (range, 35-62). Data on the operation time, complications, hospital stay, body mass index loss (BMIL), percentage of excess weight loss (%EWL), loss of appetite and improvement of comorbidities were collected.

RESULTS: After 4 years postoperatively, mean %EWL was 74,4 ± 15,5 in the LSG group and 24,1 ± 13,7 in the LGCP group (p<0,01). The comorbidities including diabetes, sleep apnea and hypertension, improved in LSG group much more than in LGCP group.

CONCLUSIONS: Long-term results showed that LSG is better than LGCP in terms of weight loss and improvement of comorbidities.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 77334

Program Number: P542

Presentation Session: Poster (Non CME)

Presentation Type: Poster

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