Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy Treatments for Obesity: Systematic Review and Meta-Analysis of Short- and Mid-Term Results

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author BARRICHELLO, Sergio
MINATA, Mauricio Kazuyoshi FMUSP-HC
GORDEJUELA, Amador Garcia Ruiz de
BERNARDO, Wanderley Marques FMUSP-HC
SOUZA, Thiago Ferreira de FMUSP-HC
GALVO NETO, Manoel
MOURA, Diogo Turiani Hourneaux de FMUSP-HC
SANTO, Marco Aurelio FMUSP-HC
MOURA, Eduardo Guimares Hourneaux de FMUSP-HC
dc.date.issued 2018
dc.identifier.citation OBESITY SURGERY, v.28, n.10, p.3199-3212, 2018
dc.identifier.issn 0960-8923
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/29465
dc.description.abstract Laparoscopic greater curvature plication (LGP) has recently emerged as a new bariatric procedure. This surgery provides gastric restriction without resection, which could potentially provide a lower risk alternative, with fewer complications. The real benefit of this technique in the short and long term is unknown. This systematic review aims to compare laparoscopic gastric plication and laparoscopic sleeve gastrectomy for obesity treatment. Clinical trials were identified in MEDLINE, Embase, Cochrane, LILACS, BVS, SCOPUS, and CINAHL databases. Comparison of LGP and laparoscopic sleeve gastrectomy (SG) included hospital stay, operative time, loss of hunger feeling, body mass index loss (BMIL), percentage of excess weight loss (%EWL), complications, symptoms in the postoperative period, and comorbidity remission or improvement. This systematic review search included 17,423 records. Eight studies were selected for meta-analysis. There is no difference in operative time, hospital stay, and complications. Patients in the SG group had improved loss of hunger feeling. BMIL was better in the SG group at 12 and 24 months [mean difference (MD) - 2.19, 95% confidence interval (CI) - 3.10 to - 1.28, and MD - 4.59, 95% CI - 5.55 to - 3.63, respectively]. SG showed improved %EWL compared with gastric plication in 3, 6, 12, and 24 months. However, no difference was found in %EWL long-term results (24 and 36 months). Patients who underwent LGP had more sialorrhea. SG showed better results in diabetes remission. SG showed improved weight loss when compared with LGP, with better satiety, fewer symptoms in the postoperative period, and improved diabetes remission.
dc.language.iso eng
dc.publisher SPRINGER
dc.relation.ispartof Obesity Surgery
dc.rights restrictedAccess
dc.subject Obesity; Bariatric surgical procedures; Weight loss; Systematic review; Meta-analysis
dc.subject.other gastric plication; morbid-obesity; weight; trial; efficacy; outcomes; bypass; safety
dc.title Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy Treatments for Obesity: Systematic Review and Meta-Analysis of Short- and Mid-Term Results
dc.type article
dc.rights.holder Copyright SPRINGER
dc.description.group LIM/35
dc.identifier.doi 10.1007/s11695-018-3330-9
dc.identifier.pmid 29951784
dc.type.category review
dc.type.version publishedVersion
hcfmusp.author MINATA, Mauricio Kazuyoshi:HC:ICHC
hcfmusp.author BERNARDO, Wanderley Marques:FM:
hcfmusp.author SOUZA, Thiago Ferreira de:HC:ICHC
hcfmusp.author MOURA, Diogo Turiani Hourneaux de:HC:PAHC
hcfmusp.author SANTO, Marco Aurelio:FM:MGT
hcfmusp.author MOURA, Eduardo Guimares Hourneaux de:HC:ICHC
hcfmusp.author.external · BARRICHELLO, Sergio:Univ Sao Paulo, Gastroenterol Dept, Gastrointestinal Endoscopy Unit, BR-05403900 Sao Paulo, SP, Brazil
· GORDEJUELA, Amador Garcia Ruiz de:Hosp Univ Bellvitge, Serv Cirurgia Gen & Aparell Digestiu, Barcelona, Spain
· GALVO NETO, Manoel:Florida Int Univ, Miami, FL 33199 USA
hcfmusp.origem.id WOS:000444768500030
hcfmusp.origem.id 2-s2.0-85049077287
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
dc.identifier.eissn 1708-0428
hcfmusp.citation.scopus 5
hcfmusp.citation.wos 5
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country Espanha
hcfmusp.affiliation.country Estados Unidos


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