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Abstract Laparoscopic greater curvature plication (LGCP) and endoscopic sleeve gastroplasty (ESG) are new minimally invasive metabolic / bariatric procedures that require no resection or bypass of the gastrointestinal tract. Despite a similar anatomic manipulation of the greater curvature of the stomach, differences in approach (laparoscopic vs. endoscopic), resultant pressure gradients, alteration to the enteric nervous system, and the final shape of the fundus might account for important physiologic differences between the two techniques |