Comparison of Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Plication: Two-Year Follow-Up Results

Abstract

Objective:

To compare safety and efficacy of laparoscopic gastric plication (LGP) and laparoscopic sleeve gastrectomy (LSG) for the treatment of morbid obesity.

Patients and Methods:

This prospective study included 40 morbidly obese adults scheduled for bariatric surgery and divided into two groups; LSG group (n = 20) and LGP group (n = 20). The patients were followed up for 2 years to assess weight, body mass index (BMI), and change in comorbidities. The procedure is considered failed if the BMI was >35 kg/m² or the percentage of excess weight loss (%EWL) was <50% after 1 year, or weight regain was >10 kg above least weight after surgery. The primary outcome measure was the degree of weight loss and secondary outcome measures were postoperative complications.

Results:

LSG was superior to LGP after 1 year (p < 0.001) and after 2 years (p < 0.001). % EWL was significantly higher in LSG group at 6 months (p = 0.002), 1 year (p < 0.001), and 2 years (p < 0.001). Significantly more failures were recorded in the LGP group (p = 0.006).

Conclusion:

LSG has superior mid-term outcomes for weight loss and other parameters, but the LGP has lower cost with minor early complications and limited severe complications.