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Laparoscopic Gastric Plication
There are several types of bariatric (surgical weight loss) procedures. Some procedures like laparoscopic gastric bypass and laparoscopic sleeve gastrectomy restrict the amount of food that can be eaten at one time and others bypass segments of the intestines to limit the absorption of calories like Roux-en-y gastric bypass. Laparoscopic Gastric Plication is a restrictive procedure that reduces the size of the stomach and limits food intake. This procedure is also referred to as Laparoscopic Greater Curvature Plication (LGCP).

Laparscopic Gastric Plication for Treatment of Severe Obesity
Stacy A. Brethauer M.D. , Jason L. Harris Ph.D., Matthew Kroh M.D. and Philip R. Schauer M.D.

How Is Gastric Plication Performed?

We perform the Gastric Plication as a laparoscopic procedure. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.

Laparoscopic Gastric Plication, involves sewing one or more large folds in your stomach. During the Laparoscopic Gastric Plication the stomach volume is reduced about 70% which makes the stomach able to hold less and may help you eat less. There is no cutting, stapling, or removal of the stomach or intestines during the Gastric Plicaiton. The Gastric Plication may potentially be reversed or converted to another procedure if needed.

The Gastric Plication procedure is minimally invasive and takes approximately one to two hours to complete. Most patients stay in the hospital for 1-2 days after the procedure.

How Does Gastric Plication Cause Weight Loss?
Gastric Plication is a restrictive procedure. It greatly reduces the size of your stomach and limits the amount of food that can be eaten at one time. It does not cause decreased absorption of nutrients or bypass your intestines. After eating a small amount of food, you will feel full very quickly and continue to feel full for several hours. Gastric Plication may also cause a decrease in appetite.

Gastric Plication : Reducing stomach volume by folding in the stomach wall   Stiches are placed in the stomach to secure the folded stomach wall.

Who is a candidate for Laparoscopic Gastric Plication?
The Laparoscopic Gastric Plication procedure is relatively new, and considered investigational as a primary procedure for weight loss. The Gastric Plication is being offered to patients at the Cleveland Clinic as part of a clinical trial that will better define short and long-term benefits of the procedure. Currently, insurance companies do not cover the Gastric Plication Procedure. Therefore, patients are required to self-pay for the procedure. A financial coordinator from the Bariatric and Metabolic Institute will be available to discuss payment options with you.

What Are The Risks Of Laparoscopic Gastric Plication?
There are risks that are common to any laparoscopic procedure such as bleeding, infection, injury to other organs, or the need to convert to an open procedure. There is also a small risk of a leak from the suture line used to imbricate/plicate ("fold") the stomach. These problems are rare and major complications occur less than 1% of the time.

What Are The benefits Of Laparoscopic Gastric Plication?
Depending on their pre-operative weight, patients can expect to lose between 40% to 70% of their excess body weight in the first year after surgery. Many obesity-related comorbidities improve or resolve after bariatric surgery. Diabetes, hypertension, obstructive sleep apnea and abnormal cholesterol levels are improved in more than 75% of patients undergoing a bariatric procedure. Though long-term studies are not yet available, the weight loss that occurs after Gastric Plication results in significant improvement in these medical conditions in the first year after surgery.

Is Laparoscopic Gastric Plication A Good Choice For Me?
Your surgeon may talk to you about Gastric Plication as an option if you have a BMI over 27 with one or more significant co-morbid medical conditions which are generally expected to be improved, reversed, or resolved by weight loss. You should discuss all of the available surgical procedures with your surgeon and determine which procedure is best for you.

Contact Us
Our goal is to provide you with an environment to educate and support you in preparation for weight loss and weight loss surgery. Whenever possible, we encourage family involvement throughout the process.

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To get started in the weight loss surgery process at our Cleveland location, please call: 1-800-339-9829.

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Cleveland Clinic Institutional Review Board approved this informational material on 11-24-10.

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