Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis
Introduction. A meta-analysis was conducted in order to provide an up-to-date comparison of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) for morbid obesity. Materials and Methods. The PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Intervention...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2018/3617458 |
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| author | Konstantinos Perivoliotis Eleni Sioka Georgia Katsogridaki Dimitrios Zacharoulis |
| author_facet | Konstantinos Perivoliotis Eleni Sioka Georgia Katsogridaki Dimitrios Zacharoulis |
| author_sort | Konstantinos Perivoliotis |
| collection | DOAJ |
| description | Introduction. A meta-analysis was conducted in order to provide an up-to-date comparison of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) for morbid obesity. Materials and Methods. The PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were used for the conduction of this study. A systematic literature search was performed in the electronic databases (MEDLINE, CENTRAL, and Web of Science and Scopus). The fixed effects or random effects model was used according to the Cochran Q test. Results. Totally, 12 eligible studies were extracted. LSG displayed a statistically significant lower rate of overall complications (OR: 0.35; 95% CI: 0.17, 0.68; p=0.002) and a sustainable higher %EWL through all time endpoints (OR: 4.86, p=0.04; OR: 7.57, p<0.00001; and OR: 13.74; p<0.00001). There was no difference between the two techniques in terms of length of hospital stay (p=0.16), operative duration (p=0.81), reoperation rate (p=0.51), and cost (p=0.06). Conclusions. LSG was demonstrated to have a lower overall complications and a higher weight loss rate, when compared to LGP. Further RCTs of a higher methodological quality level, with a larger sample size, are required in order to validate these findings. |
| format | Article |
| id | doaj-art-1dbfcffd83e2485480e413b85dc74d49 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-1dbfcffd83e2485480e413b85dc74d492025-02-03T05:48:08ZengWileyJournal of Obesity2090-07082090-07162018-01-01201810.1155/2018/36174583617458Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-AnalysisKonstantinos Perivoliotis0Eleni Sioka1Georgia Katsogridaki2Dimitrios Zacharoulis3Department of Surgery, University Hospital of Larissa, Mezourlo, 41110 Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Mezourlo, 41110 Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Mezourlo, 41110 Larissa, GreeceDepartment of Surgery, University Hospital of Larissa, Mezourlo, 41110 Larissa, GreeceIntroduction. A meta-analysis was conducted in order to provide an up-to-date comparison of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) for morbid obesity. Materials and Methods. The PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were used for the conduction of this study. A systematic literature search was performed in the electronic databases (MEDLINE, CENTRAL, and Web of Science and Scopus). The fixed effects or random effects model was used according to the Cochran Q test. Results. Totally, 12 eligible studies were extracted. LSG displayed a statistically significant lower rate of overall complications (OR: 0.35; 95% CI: 0.17, 0.68; p=0.002) and a sustainable higher %EWL through all time endpoints (OR: 4.86, p=0.04; OR: 7.57, p<0.00001; and OR: 13.74; p<0.00001). There was no difference between the two techniques in terms of length of hospital stay (p=0.16), operative duration (p=0.81), reoperation rate (p=0.51), and cost (p=0.06). Conclusions. LSG was demonstrated to have a lower overall complications and a higher weight loss rate, when compared to LGP. Further RCTs of a higher methodological quality level, with a larger sample size, are required in order to validate these findings.http://dx.doi.org/10.1155/2018/3617458 |
| spellingShingle | Konstantinos Perivoliotis Eleni Sioka Georgia Katsogridaki Dimitrios Zacharoulis Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis Journal of Obesity |
| title | Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis |
| title_full | Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis |
| title_fullStr | Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis |
| title_full_unstemmed | Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis |
| title_short | Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis |
| title_sort | laparoscopic gastric plication versus laparoscopic sleeve gastrectomy an up to date systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2018/3617458 |
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