title: A systematic review of gastric plication for the treatment of obesity.
abstract: BACKGROUND
  Laparoscopic gastric plication (LGP) is a relatively new restrictive bariatric procedure that requires no gastrectomy or foreign body placement.
  
  
  OBJECTIVE
  The authors' aim in this article is to conduct a systematic review of the currently available literature regarding the outcomes of LGP for the treatment of obesity.
  
  
  METHODS
  University Hospital, China
  
  
  METHODS
  The authors' systematic review yielded 14 studies encompassing 1,450 LGP patients. Perioperative data were collected from each study and recorded.
  
  
  RESULTS
  Mean preoperative body mass index (BMI) ranged from 31.2 to 44.5 kg/m(2), and 80.8% of the patients were female. Operative time ranged from 50 to 117.9 minutes (average 79.2 min). Hospital stay varied from .75 to 5 days (average 2.4 days). The percentage of excessive weight loss (%EWL) for LGP varied from 31.8% to 74.4% with follow-up from 6 months to 24 months. No mortality was reported in these studies and the rate of major complications requiring reoperation ranged from 0% to 15.4% (average 3.7 %).
  
  
  CONCLUSIONS
  Early reports with LGP are promising with a favorable short-term safety profile. However, it remains unclear if weight loss following LGP is durable in the long term. Additional prospective comparative trials and long-term follow-up are needed to further define the role of LGP in the surgical management of obesity.
authors.affiliation: Department of General Surgery, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Ji
authors.affiliation: Department of General Surgery, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, China. Electronic address: wydong2003@hotmail.com.
authors.forename: Yuedong
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of General Surgery, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, China.
authors.forename: Jinhui
authors.initials: J
authors.lastname: Zhu
authors.affiliation: Department of General Surgery, Second Affiliated Hospital Zhejiang University College of Medicine, Hangzhou, China.
authors.forename: Dijian
authors.initials: D
authors.lastname: Shen
mesh_terms: D000328:Adult; D000368:Aged; D050110:Bariatric Surgery / Q000379:methods; D015992:Body Mass Index; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D061646:Operative Time; D011379:Prognosis; D018570:Risk Assessment; D013270:Stomach / Q000601:surgery; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Bariatric surgery; Gastric plication; Laparoscopy; Obesity