Gastrogastric Intussusception 10 Years After Laparoscopic Gastric Greater Curvature Plication: a Case Report

Metabolic bariatric surgery (MBS) is the leading long-term solution for obesity. The surge in MBS demand has led to innovations, including modernizing old techniques with minimally invasive methods. Gastric greater curve plication (LGCP) was first performed in 1976 and later adapted to a laparoscopic method in 2007. It served as a laparoscopic sleeve gastrectomy (LSG) alternative. This technique, involving the folding and suturing of the stomach’s greater curvature, offers reversibility and reduces the risk of leakage without removing stomach tissue. Despite LGCP’s intent to enhance the LSG procedure, recent studies show a consensus that LSG outperforms LGCP in perioperative safety, weight loss efficacy, and long-term complications like gastric obstruction, abscess formation, gastric prolapse, or release of the plicated wall.