Laparoscopic gastric plication is a newer minimally invasive weight-loss surgery technique for the moderately obese that reduces the size of the stomach capacity to approximately 120 ml. This means that it holds less food, which in turn means fewer calories consumed and successful weight loss for patients who follow the post-operative guidelines provided by the bariatric surgeons.
The procedure does not involve the use of an implanted device (such as gastric banding). Also, unlike the gastric sleeve procedure, gastric plication may be reversible because a portion of the stomach is not removed. In addition, unlike gastric bypass, gastric plication does not involve rerouting and reconnecting the intestines.
It is a restrictive weight-loss surgery, meaning that it restricts the amount of food the stomach can hold. You will feel full sooner so you won’t want to eat as much.
Gastric plication uses laparoscopic techniques. This means that instead of making a large abdominal incision, the surgeon makes small incisions, through which he inserts a camera and specially designed instruments. These instruments allow the surgeon to perform operations very precisely while causing much less trauma to the patient’s body. Laparoscopic technique allows for quicker recovery, low chance of surgical complications, and less patient discomfort. The operation can take about an hour if performed by an experienced surgeon. The hospital stay is typically 24 - 48 hours. Recovery times may vary, but patients can generally return to work and normal activities within seven to 10 days.
- No rerouting of intestines as with gastric bypass
- Does not involve implanting a banding device around a portion of the stomach
- No adjustments are needed as with gastric banding
- Procedure may be reversible, unlike sleeve gastrectomy or gastric bypass.
- Gastric plication is a newer procedure and hasn’t been tested as long as sleeve gastrectomy, gastric banding or gastric bypass.
- Standard risks associated with surgery and general anesthesia
- Nausea and vomiting
- Separation of stitched areas (requires revisional surgery)
- Leaks from sutured areas (requires revisional surgery)
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