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Abstract
Background: Laparoscopic gastric plication (LGP) is a relatively new restrictive bariatric procedure that emerged to avoid the problems and to reduce the cost of more popular restrictive procedures particularly laparoscopic sleeve gastrectomy.In this study we present the initial short-term outcome of LGP and its effect on gastric emptying and compare it with the results of LSG. Methods: from May 2016 to April 2017, a total of 50 patients were allocated to undergo either LGCP (n=25) or LSG (n=25). Data on the operative time, complications ,hospital stay, overall cost of LSG and LGCP, body mass index loss (BMIL), post-operative gastric emptying, percentage of excess weight loss (%EWL), and improvement of comorbidities were collected during the follow-up examinations. Results: All procedures were completed laparoscopically. The mean operative time was 174±23.4 minutes for the LGCP group and 126±31.6 minutes for the LSG group (P=0.001). No patient required reoperation due to an early complication. Two patients in the LGCP group were readmitted because of severe vomiting. The mean hospital stay was 5.92±3.79 days in the LGCP group and 2.84±.94 days in the LSG group (P<0.001). The total cost of LSG was £19,000±510 compared to LGCP £ 3049±12) (P<0.001). Sixmonths after surgery, the mean %EWL was 46.32±6.56 %(n=25) in the LGCP group and 55.87±6.94% (n=25) in the LSG group (P<0.001). The mean gastric emptying t1/2 was 40±13 minutes for LGCP group and 28.3±8.31 minutes for LSG group (P=0.001). The comorbidities, including 2 patientswith hypertension were markedly improved in both groups 6 months after surgery