Metabolic Effects of Sleeve Gastrectomy and Laparoscopic Greater Curvature Plication: an 18-Month Prospective, Observational, Open-Label Study

Bužga, Marek; Švagera, Zdeněk; Tomášková, Hana; Hauptman, Karel; Holéczy, Pavol

doi:10.1007/s11695-017-2779-2

Cited by 32Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

Metabolic Effects of Sleeve Gastrectomy and Laparoscopic Greater Curvature Plication: an 18-Month Prospective, Observational, Open-Label Study

Bužga, Marek, Švagera, Zdeněk, Tomášková, Hana, Hauptman, Karel, Holéczy, Pavol·2017·Obesity Surgery

DOI 10.1007/s11695-017-2779-2

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Abstract

Background Laparoscopic greater curvature plication (LGCP) is an innovative restrictive technique designed to reduce gastric volume by plication at the region of greater curvature. The long-term efficacy, safety, and the metabolic effects of this procedure are the subject of this study. Methods One hundred twenty-seven patients were enrolled; 84 underwent laparoscopic sleeve gastrectomy (LSG) and 43, LGCP. LSG and LGCP were then compared during long-term follow-ups in terms of glycemic control, hormone and lipid secretion, and changes in body composition. Measured parameters included serum glucose, triglycerides, high- and low-density lipoprotein cholesterol, testosterone, estradiol, leptin, adiponectin, ghrelin, fatmass, and lean body mass. Results Significant weight-loss and a reduced body composition resulted from either procedure vs. baseline (i.e., pre-surgery), with levels of fasting glucose and glycated hemoglobin also showing statistically significant reductions (at 3 and 18 months for either surgery). Intergroup comparisons for glycemic parameters yielded no statistically significant differences. However, a dramatic reduction in ghrelin was detected following LSG, falling from pre-surgery levels of 140.7 to 69.6 ng/L by 6 months (P Conclusions Good metabolic outcomes were obtained following LGCP, which might be mediated via altered glucose metabolism and GI hormones. Nevertheless, this method is less effective than LSG, possibly due to its preservation of the entire…

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Analysis of long-term (≥5 years) and very long-term (≥10 years) evidence suggested an excess weight loss between 42% and 55% for sleeve gastrectomy.
“Analysis of long-term (≥ 5 years) and very long-term (≥ 10 years) evidence suggested an EWL between 42 and 55% with a mean weight regain between 9 and 31% for sleeve gastrectomy [9, 10, 92, 93].”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [93]
Analysis of long-term (≥5 years) and very long-term (≥10 years) evidence suggested a mean weight regain between 9% and 31% for sleeve gastrectomy.
“Analysis of long-term (≥ 5 years) and very long-term (≥ 10 years) evidence suggested an EWL between 42 and 55% with a mean weight regain between 9 and 31% for sleeve gastrectomy [9, 10, 92, 93].”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [93]

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Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP
Di Lorenzo, N., Antoniou, S. A., Batterham, R. L., Busetto, L., Godoroja, D., Iossa, A., Carrano, F. M., Agresta, F., Alarçon, I., Azran, C., et al. (2020) · Surgical Endoscopy · doi:10.1007/s00464-020-07555-y · Cited by 465 · see citing works
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Authors: Bužga, M., Švagera, Z., Tomášková, H., Hauptman, K., & Holéczy, P.
Affiliations: University of Ostrava (CZ)
University Hospital Ostrava (CZ)
Corresponding author: Švagera, Zdeněk
ORCID: Bužga, Marek
Švagera, Zdeněk
Tomášková, Hana
Holéczy, Pavol
Venue: Obesity Surgery
Publisher: Springer Science and Business Media LLC
Published: 2017-07-03
Volume: 27
Issue: 12
Pages: 3258-3266
ISSN: 0960-8923 (ISSN-L)
1708-0428
DOI: 10.1007/s11695-017-2779-2
OpenAlex: W2726701960
Cited by: 32
References: 37
Citations by year: 2026: 5 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 1
FWCI: 4.78
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Obesity Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords: laparoscopic sleeve gastrectomy
MeSH terms: Adult, Blood Glucose, Female, Follow-Up Studies, Gastrectomy, Glycated Hemoglobin, Humans, Male, Middle Aged, Obesity, Morbid, Laparoscopy, Gastroplasty, Weight Loss, Treatment Outcome, Ghrelin, Metabolome

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Metabolic Effects of Sleeve Gastrectomy and Laparoscopic Greater Curvature Plication: an 18-Month Prospective, Observational, Open-Label Study

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