A comparative study of weight loss and co morbidity benefits between Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Imbrication/Plication in morbid obesity

Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) involves resection of a portion of the greater curvature of stomach. Laparoscopic greater curvature plication /imbrication (LGCP) involves plicating/imbricating the greater curvature without gastric resection. Materials and Methods: 30 patients who fulfilled the NIH criteria were randomized for either LSG (n = 15) [12 women and 3 men; mean age 38. 3 years (28–50 years) and mean BMI 43 kg/m2 or LGCP (n = 15) [10 women and 5 men; mean age 36.8 years (19–48years) and mean BMI 41 kg/m2. Patients were studied in terms of postoperative weight loss, changes in hypertension (systolic and diastolic blood pressure), FBS level and total cholesterol level. Follow-up period was 6 months. The mean hospital stay was 4 days for both groups. There were no intraoperative complications. All patients experienced postoperative excess weight loss and improvement in co morbid conditions. The improvement was significantly better in the LSG group in terms of excess weight loss (52.2% in LSG and 43.7% in LGCP) and change in FBS and Hypertension was not statistically significant (t test). Conclusion: LGCP is feasible, safe, and effective, but has an inferior weight-loss effect as compared to LSG for morbidly obese patients with BMI above 40 kg/m2 and 35kg/m2 with co morbid conditions.