Our Summary

This study looked at two types of weight-loss surgery: laparoscopic greater curvature plication (LGCP) and laparoscopic sleeve gastrectomy (LSG). Both surgeries reduce the size of the stomach, but they do so in different ways: LGCP folds the stomach in on itself, while LSG removes part of the stomach. The researchers wanted to know which operation was safer and more effective for weight loss.

They studied 45 people who had LGCP and 45 who had LSG. These groups were similar in terms of gender, age, and body mass index (BMI - a measure of body fat based on height and weight). They then compared the rates of surgical complications, the need for additional surgery, and how much weight people lost after 3 and 6 months.

The results showed that the time taken to perform both surgeries was similar, and there was no difference in the rate of complications. However, more people who had LGCP needed additional surgery. After 6 months, those who had LSG had lost more weight and had a lower BMI than those who had LGCP.

The researchers concluded that while both surgeries are safe, LSG leads to greater weight loss and less need for additional surgery.

FAQs

  1. What are the differences between laparoscopic greater curvature plication (LGCP) and laparoscopic sleeve gastrectomy (LSG)?
  2. Did the study find significant differences in surgical complications and the need for additional surgery between LGCP and LSG?
  3. Which surgery led to greater weight loss and a lower BMI after 6 months, according to the study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastric sleeve surgery is to consider opting for laparoscopic sleeve gastrectomy (LSG) over laparoscopic greater curvature plication (LGCP) due to its potentially better weight loss outcomes and lower risk of needing additional surgery. It’s important to discuss the pros and cons of each procedure with your healthcare provider to determine the best option for your individual needs and goals. Additionally, following a healthy diet and exercise plan post-surgery can further enhance the success of your weight loss journey.

Suitable For

Patients who are recommended for gastric sleeve surgery typically have a BMI of 40 or higher, or a BMI of 35-39.9 with obesity-related health conditions such as diabetes, high blood pressure, or sleep apnea. It is important for patients to have tried other weight loss methods such as diet and exercise before considering surgery, and to have a commitment to making lifestyle changes after the surgery. Additionally, patients should be in overall good health and have a willingness to follow the post-operative dietary and exercise guidelines.

Timeline

Before gastric sleeve surgery:

  1. Patient consults with a healthcare provider to discuss weight loss options.
  2. Patient undergoes medical evaluation to determine if they are a candidate for gastric sleeve surgery.
  3. Patient may be required to meet with a nutritionist or psychologist to prepare for the surgery.
  4. Patient may need to lose a certain amount of weight before surgery to reduce surgical risks.
  5. Patient undergoes pre-operative tests and consultations with the surgical team.

After gastric sleeve surgery:

  1. Patient stays in the hospital for a few days to recover from the surgery.
  2. Patient follows a strict liquid diet for the first few weeks after surgery.
  3. Patient gradually transitions to pureed and soft foods as directed by their healthcare team.
  4. Patient attends regular follow-up appointments with their healthcare provider to monitor their progress.
  5. Patient starts incorporating solid foods back into their diet under the guidance of a nutritionist.
  6. Patient begins an exercise program to aid in weight loss and improve overall health.
  7. Patient may experience rapid weight loss in the first few months after surgery.
  8. Patient may need to make lifestyle changes to maintain weight loss long-term.

What to Ask Your Doctor

Some questions a patient should ask their doctor about gastric sleeve surgery include:

  1. What are the potential risks and complications associated with gastric sleeve surgery?
  2. How long does the surgery typically take to perform?
  3. What is the expected recovery time after gastric sleeve surgery?
  4. Will I need to make any changes to my diet or lifestyle before or after the surgery?
  5. How much weight can I expect to lose after undergoing gastric sleeve surgery?
  6. Will I need to take any vitamin or mineral supplements after the surgery?
  7. What is the long-term success rate of gastric sleeve surgery in terms of weight loss maintenance?
  8. Are there any specific dietary guidelines I should follow after the surgery to maximize weight loss?
  9. How often will I need to follow up with you after the surgery?
  10. What are the differences between gastric sleeve surgery and other weight loss surgeries, such as laparoscopic greater curvature plication?

Reference

Authors: Verdi D, Prevedello L, Albanese A, Lobba A, Foletto M. Journal: Obes Surg. 2015 Sep;25(9):1653-7. doi: 10.1007/s11695-015-1600-3. PMID: 25663148