Background; laparoscopic sleeve gastrectomy (LSG) involves resection of a significant portion of the stomach. Laparoscopic greater curvature plication (LGCP) is a relatively new alternative procedure similar to LSG, but without the need for gastric resection.Patients and methods; one hundred patients included in our study in AL Jadria hospital in Baghdad and were assigned randomly to receive either LGCP (n = 50) [35 women and 15 men; mean age 32.1 years (19-49 years) and mean BMI 44.8 kg/m 2 (40-50 kg/m 2 )] or LSG (n = 50) [34 women and16 men; mean age 34.8 years (18-58 years) and mean BMI 46.8 kg/m 2 (41-55 kg/m 2 )] by a block randomization method. Patients were studied in terms of postoperative weight loss, and postoperative complications. Results; All procedures were completed laparoscopically. Follow-up was 24 months. The mean hospital stay was 36 h (range 24-96 h) for both groups. No intraoperative complications occurred. Postoperatively, one case of minor leak was detected after LSG and two cases of stenosis following LGCP. All patients experienced postoperative excess weight loss. Conclusion; LGCP is feasible, safe, and effective, but has an inferior weight-loss effect compared to LSG for morbidly obese patients with BMI above 40 kg/m 2 .
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