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/m, 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/m ( < 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 first 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 specific complications.