Impact of laparoscopic greater curvature plication on weight loss and some metabolic comorbidities, plus important recommendations

Background: Laparoscopic greater curvature plication (LGCP) is a new bariatric procedure that until now has not found universal acceptance and is practiced by a limited number of surgeons with both promising and disappointing results. Objectives: The aim of the study was to investigate the impact of LGCP on weight loss and associated metabolic diseases and evaluate its safety. Patients and methods: A total of 120 morbidly obese patients, 50 hypertensive patients, 48 dyslipidemic patients, and 32 type II diabetic patients underwent LGCP and were followed up for 1 year. Results: This study comprised 64 women and 56 men. Their mean age was 35.4 ± 11.8 years. Their mean preoperative BMI was 43.7 ± 7.6 kg/m2, the mean procedural duration was 73 ± 19.7 min, the mean length of hospital stay was 42.3 ± 4.5 h, and the average BMI at 12 months was 27.7 ± 3.6 kg/m2 (P 0.001). Of 32 type II diabetes mellitus patients, 23 (71.8%) became normoglycemic, 37 (77%) of 48 patients experienced disappearance of dyslipidemia, and 36 (72%) of 50 hypertensive patients became normotensive at the sixth and 12th month. Three patients (2.5%) had gastric stenosis, and three patients (2.5%) had gastric leak. One patient (0.8%) had partial disruption during the fi rst week at the upper end. One patient had prolapse of the intragastric fold causing gastroduodenal intussusception and obstructive jaundice after 8 months. Conclusion: LGCP has a positive impact on weight loss and associated metabolic comorbidities but has potential specifi c complications.