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Laparoscopic gastric plication

Laparoscopic gastric plicationThis is a relatively new type of surgery. Similar to a sleeve gastrectomy, gastric volume is reduced, forming a stomach tube with a reduced diameter, but no part of the stomach is removed. Instead the wall of the stomach is inverted with several rows of sutures. There is little data about long term results of the surgery. In the studies that compared plication and sleeve operations published so far, plication has been shown to be less effective. The weight loss is smaller, risk of subsequent weight regain is higher, complications of surgery are more frequent and the need for reoperation is much higher (due to unsatisfactory weight loss or complications). Reoperation after plication is difficult and there is a high risk of complications.

The cost of plication surgery is lower because, in contrast to bypass and sleeve surgeries, no endoscopic staplers are used.

Pros:

  • Excess body weight loss of 30-55%;
  • Remission of type 2 diabetes: 40-60%;
  • Mortality rate of the surgery is low: less than 0.1%;
  • Post-surgery use of food supplements and vitamins is required during the first year, after that it is recommended.
  • Low cost

Cons:

  • Weight loss is less than with sleeve or bypass surgeries;
  • Reversal of the procedure and restoration of the original anatomy is not possible; ?
  • There is no data on the long term effectiveness and safety of the operation;
  • High need for reoperation;

Important!  Bariatric Services does not recommend stomach plication to its patients as a method of treatment until sufficient data about its effectiveness and safety are published.