Gastric Plication is a laparoscopic procedure, in which Dr Safa initially makes five small incisions in the abdomen. It is performed using a video camera. Instruments are placed or inserted through these small incisions. The stomach is sewed by making one or more large folds, which reduces the volume of the stomach by up to 70%, thereby reducing the capacity of the stomach. A smaller stomach results in a smaller appetite, making you eat less. There is no cutting, stapling or removal of stomach or intestines in this procedure. Laparoscopic gastric plication (LGCP), a minimally invasive surgery, takes approximately an hour to be performed. You will be required to stay in the hospital for a day or two following this procedure. Potential reversal or conversion to any other procedure is possible after undergoing this surgery.
What Are The Benefits?
Long term studies are not yet available. However, as per short term studies, depending upon the pre-surgery weight, you can achieve weight losses ranging from 40% to 70% of the excess fat. It also results in significant improvements within the first year in various obesity-related disorders like diabetes, hypertension and obstructive sleep apnea.
What Are The Risks Involved?
Risks associated with other laparoscopic procedures are involved in this case too. These risks involve bleeding, infection and injury to other organs.
Also, a negligible risk of leakage from the suture line used to imbricate/plicate the stomach is involved.
However, the probability of occurrence of such risks are rare, as low as 1% of the total surgeries performed.
If your BMI exceeds 30 with one or more obesity-related conditions, your surgeon might advise you to undergo Gastric Plication if you expect an improvement, reversal or resolution from weight loss. Meanwhile, it is best suited that you discuss with your surgeon the various surgical procedures that you can undergo to diminish the fat. Consider all options and think carefully about which is the best for you before selecting one among the above procedures to undergo.
Choosing the Hospital
Dr Nagi Safa performs the laparoscopic weight loss surgeries and the single incision weight loss surgeries in: