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Gastric plication for morbid obesity: a systematic review
Tamer N Abdelbaki1, Chih-Kun Huang, Almino Ramos
1Case Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Obesity Surgery
|September 11, 2012
Summary
Gastric plication shows promising results for excess weight loss (EWL) in bariatric surgery patients. Further research is needed to establish its long-term effectiveness and reliability compared to established procedures.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Gastroenterology
Background:
- Gastric plication is an emerging bariatric surgical technique.
- Existing literature presents controversies regarding its efficacy and safety.
- A comprehensive review is necessary to evaluate the current evidence.
Purpose of the Study:
- To review and synthesize existing literature on gastric plication.
- To assess the outcomes and effectiveness of this novel bariatric procedure.
- To identify gaps in current research.
Main Methods:
- A systematic search of PubMed was conducted using relevant MeSH terms.
- Abstracts were screened for English-language articles on human subjects.
- Full-text analysis of seven selected articles was performed.
Main Results:
- A total of 307 patients underwent gastric plication.
- Mean operative time ranged from 40 to 150 minutes.
- Excess weight loss (EWL) at 12 months ranged from 53.4% to 67%, with a 3-year mean EWL of 57%.
Conclusions:
- Laparoscopic gastric plication is a nascent bariatric procedure.
- Further randomized controlled trials are required.
- Comparative studies are essential to validate its reliability and metabolic benefits.
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