Gastric Sleeve Plication SurgeryGastric Sleeve Plication Surgery is known as Laparoscopic Greater Curvature Plication (LGLP) and is a newer, minimally invasive bariatric surgery procedure for the moderately obese.

Gastric plication surgery uses a restrictive technique to promote weight loss by restricting the amount of food the stomach can hold. This makes a patient feel full faster so they do not eat as much.

Gastric sleeve plication reduces the complications associated with gastric banding and vertical sleeve gastrectomy by creating restriction without the use of an implanted device (gastric banding) or removal of stomach tissue (gastric sleeve).

Gastric Sleeve Plication Surgery Procedure

Gastric sleeve plication takes 1-2 hours of operating room time. Most patients stay in the hospital for 1-2 nights following surgery for observation during recovery. Patients generally return to work within 2 weeks after gastric sleeve plication surgery.

Operating TimeHospitalHotelRecoveryOff WorkNutrition Care
1-2 Hours 2 Nights1-3 Nights3 Weeks2 WeeksAvailable 24/7
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We provide every patient with nutrition aftercare and support. Our team of nutrition & dietary experts are available 24/7 to help you achieve your weight loss goals.

Weight Loss after Gastric Sleeve Plication Surgery

Weight loss results vary across patients due to different heights and weights. This means that each person will have a different body mass index (BMI) and therefore will lose weight at different rates.

  • On average, sleeve plication patients can expect to lose about 40-70% of their excess body weight after surgery during the first 24 months. site references

 

How Gastric Sleeve Plication Surgery Works

Our surgeons perform the gastric sleeve plication surgery as a laparoscopic procedure. This involves making five or six small incisions in the abdomen and performing the surgery using a video camera and long instruments that are placed through these key-hole incisions.

  • The laparoscopic gastric plication procedure does not require the use of restrictive devices or surgical removal of the stomach tissue. Instead, the stomach is folded (plication) and sewed back to itself as illustrated in the diagram below.
  • This technique allows the surgeon to reduce stomach capacity by about 85% so it holds less food (30 ounces of liquid to 5 ounces), which helps you eat less and feel full sooner.
  • Because the surgeon uses laparoscopic techniques, patients generally recover faster and have less scarring compared to open surgery procedures.

 

How Gastric Sleeve Plication Causes Weight Loss

Gastric sleeve plication surgery causes weight loss by reducing the stomach size and limiting the amount of food that can be eaten.

  • It does not bypass your intestines or cause a decrease in absorption of nutrients.
  • Patients generally feel full very quickly after they eat a small amount of food and continue to feel full for several hours.

 

Advantages of Gastric Sleeve Plication Surgery

Patients can expect to lose between 40% and 70% of their excess body weight in the first year after gastric sleeve plication surgery. Other advantages include:

  • Gastric sleeve plication surgery does not reroute the intestines (i.e., gastric bypass)
  • No implanted device or adjustments are required (i.e., gastric banding)
  • Potentially can be reversed or converted to another procedure
  • No cutting, stapling, or removal of the stomach or intestines

 

Disadvantage of Gastric Sleeve Plication Surgery

Like all bariatric procedures, there are risks common to gastric sleeve plication surgery such as:

  • Bleeding and infection
  • Nausea and vomiting
  • Leaks from suture line
  • Gastric sleeve plication surgery is a newer procedure and hasn’t been tested long-term like gastric sleeve gastrectomy, gastric bypass, and gastric banding.
  • Long-term studies are not yet available.

 

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