Gastric Plication Surgery

About Gastric Plication Surgery

Gastric plication surgery, which is also called Laparoscopic gastric plication (LGP), is the newest technique of bariatric surgery which reduces the size of stomach by folding it inward and stitching the fold in place. The stomach will be reduced almost 75% of its size. The patient will therefore eat less and feel fuller faster.

 

Unlike gastric band or gastric bypass, the procedure eliminates the need for an implant or to reroute the intestines. It is more and less like gastric sleeve surgery, but no portion of stomach is removed. The gastric plication procedure is revisable though.

 

Between 40% and 70% of the excess body weight will be lost in the first year after the surgery if gastric plication is performed.

time requirements

Minimum stay

1-2 weeks

Hospital stay

1 to 2 days

Operation duration

1 to 2 hours

Anesthesia type

General

Back to work

2 weeks

Post visit

1 trip

Before Gastric Plication Surgery

Before the gastric plication surgery, the patient will have a consultancy meeting with the surgeon. Any other option like gastric balloon or gastric bypass will be discussed. The procedure will be explained completely and the patient will be aware of any complications or risks that the procedure might have. The surgeon will also advise the patient how to be prepared for the surgery. The surgeon makes sure that the patient is in good health for this surgery.  

 

Other general recommendations before the procedure are:

 

  • Tell the healthcare provider if you are allergic to any medicines
  • Get lab testing or a medical evaluation
  • Do not eat anything 12 hours before the surgery
  • Do not drink 6 hours before the surgery.
  • Do not take medication without your surgeon’s permission.
  • quit smoking and drinking alcohol at least 2 weeks before the surgery
  • Tell the doctor about your medical history or if you have any health problems such as diabetes
  • Discuss any concerns with your healthcare provider before the surgery and make sure you are aware of every steps of this procedure

How is Gastric Plication Surgery performed?

The gastric plication surgery is done through a laparoscopy. Since it is not an open surgery, the recovery time will be less than other procedures so the patient can get back to the normal life more easily.

 

The surgeon makes several small incisions on the patient's abdomen and take the surgical tools inside the body and the stomach. By using the laparoscopy, the surgeon can clearly see the procedure. During the surgery, the surgeon will fold the stomach's lining inside itself and sew it. This will make the size and capacity of stomach reduced approximately 75%.

 

Then the surgical tools will be taken out and the surgeon will close the incisions. The patient usually needs to stay in the hospital for 1 or 2 days.

Anesthesia type

General
Gastric Plication Surgery

Gastric plication surgery reduces the stomach size almost 75%.

Recovery procedure

Possible discomfort

Doing gastric plications, the patients usually feel less pain as there are no large incisions and the surgery is done laparoscopy.  

Other reported discomforts are feeling pain in stomach, vomiting and having nausea for a few days after the surgery.

Post procedure care

Similar to other bariatric surgeries, patients are placed on post-operative diets. This includes starting with liquids in the first 2 weeks and progressing to solids over several weeks. Other recommendations are:

 

  • Follow your diet precisely.
  • Start doing daily light exercise such as walking one month after the surgery. After that do exercise regularly.
  • Eat slowly and chew carefully to have easy digestion.
  • To avoid vomiting, do not drink while eating. There is not enough room for liquid and solid at the same time.
  • Take proteins daily. You may use milk, red meat, and/or eggs.
  • Take pain killers as recommended by your doctor
  • Do not smoke for at least 2 weeks after the surgery
  • Due to the restrictive quality of gastric plication, the patient does not necessarily need much supplement or medication. Consult this item with the doctor.

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What you need to know

Not recommended for

  • Heavy smokers.
  • Patients with diabetes or high blood pressure.
  • Patients who had gastric surgery before

Potential risk

  • Separation of stitched areas (revision surgery might be required.)
  • Leakage from the suture area (revision surgery might be required.)
  • Infection
  • Bleeding
  • In the case of overeating, stomach expansion is possible up to 15%.

Cost parameters

  • Technique of the surgery
  • Patient’s health condition i.e diabetic
  • Qualification/expertise of the surgeon

Specialists

Medical Centers