Application of gastric plication in the treatment of obesity
10.3760/cma.j.cn441530-20230411-00119
- VernacularTitle:胃折叠术在肥胖治疗中的应用进展
- Author:
Chong CAO
1
;
Bo XU
;
Qiyuan YAO
Author Information
1. 复旦大学附属华山医院普通外科肥胖疝外科中心，上海 200040
- Keywords:
Bariatric surgery;
Gastric plication;
Gastric greater curvature plication;
Fundoplication;
Endoscopic sleeve gastroplasty
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(11):1082-1087
- CountryChina
- Language:Chinese
-
Abstract:
Bariatric surgery, as the most effective approach to treating obesity at present, encompasses a wide array of procedures. However, due to the significant anatomical changes to the gastrointestinal tract caused by most of these procedures, they are associated with certain risks of complications. In the pursuit of minimizing trauma, bariatric surgeons have begun exploring new surgeries in addition to traditional procedures. Gastric plication surgeries encompass various procedures such as gastric fundoplication, gastric greater curvature plication, endoscopic sleeve gastroplasty, combined gastric fundoplication with gastric greater curvature plication, and combined gastric fundoplication with sleeve gastrectomy, among others. The efficacy and risks of complications associated with these procedures fall between those of medical therapy and sleeve gastrectomy. Gastric fundoplication, functioning as an anti-reflux procedure, can also be integrated into weight loss surgical interventions to effectively address obesity-related gastroesophageal reflux disease in obese patients. Both gastric greater curvature plication and endoscopic sleeve gastroplasty yield favorable weight loss outcomes. Beyond the impact of folding procedures on body mass, gastric plication surgeries can also be combined with other techniques. The combination of gastric fundoplication with sleeve gastrectomy or greater curvature plication can reduce body mass and mitigate reflux, while the combination of greater curvature plication with gastric bypass and similar procedures can further enhance weight loss and metabolic improvements.
