Comparative study between laparoscopic sleeve gastrectomy and laparoscopic greater curvature gastric plication regarding reduction in gastric volume using computed tomography gastric volumetry

Ali, Mahmoud; Shafika, Ismail A.; Abdelfataha, Mostafa M.; Ahmad, Muhammad M. A.; Habib, Asmaa H. I.

doi:10.21608/EJSUR.2024.295229.1094

	Comparative study between laparoscopic sleeve gastrectomy and laparoscopic greater curvature gastric plication regarding reduction in gastric volume using computed tomography gastric volumetry
The Egyptian Journal of Surgery
Volume 43, Issue 4, October 2024, Pages 1482-1491 PDF (487.47 K)
Document Type: Original Article
DOI: 10.21608/EJSUR.2024.295229.1094
Authors
Mahmoud Ali^* ¹; Ismail A. Shafika¹; Mostafa M. Abdelfataha¹; Muhammad M. A. Ahmad²; Asmaa H. I. Habib³
¹Department of of General Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
²Department of of General Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
³Department of of Diagnostic and Interventional Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt
Abstract
Background: The most effective therapy for obesity is bariatric surgery. In addition to weight loss, it also significantly reduces mortality and improves comorbidities associated with obesity within a significant proportion of patients. Laparoscopic sleeve gastrectomy (LSG) and laparoscopic greater curvature gastric plication (LGCP) are both restrictive bariatric surgeries. LSG is considered the most performed worldwide. We aimed to compare the residual gastric volume (RGV) after LSG and LGCP and correlate this volume with weight loss. Patients and Methods: This was a comparative cohort study performed on 40 obese cases assigned into two groups. Group A underwent LGCP and group B underwent LSG. All cases in both groups underwent multislice computed tomography gastric volumetry after 3 months to assess RGV. The excess weight loss percentage (EWL%) was subsequently correlated with the RGV 6 months’ postsurgery. Results: In this study, group A had a significantly higher average of RGV in comparison to group B (357.9±79.9 vs. 132.4±44.4, P<0.001). Group A had higher EWL% in comparison to group B (59.1±17.7 vs. 52.5±9.1, P=0.076). Conclusion: RGV might be able to predict the EWL% following LGCP and LSG. The less the RGV, the greater the EWL%. LGCP is an effective operation for weight loss despite relatively high RGV.
Keywords
Excess weight loss; plication; residual gastric volume; sleeve

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