Marwah Sami M Hussain1*, Esraa Omar Alsaady2, Doaa Abdulaziz M Alfraidy3, Wedad Al Madani4 and Mazen Saleh Ferwana5
1Department of General Surgery, Prince Sultan Military Medical City, KSA
2Department of General Surgery, King Salman Hospital, KSA
3Department of General Surgery, King Khalid University Hospital, KSA
4King Saud bin Abdulaziz University for Health Sciences, KSA
5Deaprtment of Family Medicine and Primary Healthcare, King Saud bin Abdulaziz University for Health Sciences,
Background: Obesity has become one of the common health problems affecting people with significant morbidity and mortality. Manage effectively by bariatric surgeries. Objectives: The aim of our review is to collect and analyze available data from controlled studies to assess the effectiveness and safety of laparoscopic greater curvature plication in comparison to laparoscopic sleeve gastrectomy. Materials and Methods: MEDLINE, EMBASE, and Cochrane collaboration library were searched until July 2020 for literature published. Results: Sixteen articles were eligible for inclusion comprising a total of 1313 patients, of whom 601 had undergone LGCP and 712 LSG. The percentage of excess weight loss (%EWL) was significant favors sleeve in RCTs at 6 months and 12 months with mean difference -5.37 and -10.56 respectively, and for observational studies at 6 months and 12 months with mean difference -12.43 and -14.81 respectively. Plication was associated with a non-significant lower risk of leakage (OR 0.31) and of bleeding (OR 0.35). Reoperation was more in plication than sleeve in both RCTs and in observational studies, (OR 2.27 and 1.73), respectively. No significant difference was observed regarding hospital course, except for operation time in RCTs which is in favors to Plication while in observation in favors to sleeve. The Type 2 Diabetes Mellitus (T2DM) and hypertension remission were un-significantly different between both procedures. Conclusion: This systematic review suggests that plication is less effective to sleeve in terms of weight reduction, but comparable in terms of complications and hospital course. However, unless there is emerging a new promising result, plication procedures should be disparaged.
Bariatric surgery; Sleeves; Plication; Obesity; Morbidity; Mortality
Hussain MSM, Alsaady EO, Alfraidy DAM, Al Madani W, Ferwana MS. Efficacy and Safety of Gastric Greater Curvature Plication Compared with Sleeve Gastrectomy: Systemic Review and Meta-Analysis. Ann Clin Surg. 2020;1(2):1010.