Gastric Sleeve Plication, also referred to as Gastric Imbrications or Laparoscopic Greater Curvature Plication, is based on the principle of Vertical Sleeve Surgery. Other names for Gastric Plication Surgery (GPS) include Vertical Gastric Plication, Vertical Sleeve Plication, Laparoscopic Gastric Plication (LGP) and Laparoscopic Greater Curvature Plication (LGCP).
It is a weight loss surgery that employs a restrictive technique. The advantage of this particular weight loss surgery is that it creates restriction in food intake without the use of any foreign implants and without removal of any stomach tissues. At this time, Gastric Plication has yet to be approved by the FDA (Food and Drug Administration) and therefore, is not currently offered in many surgical practices in the US. (Our practice has seen positive results from gastric plication procedures, and we look forward to offering this surgery on a broader scale, in the near future).
Advantages of Gastric Sleeve Plication
One of the advantages of this kind of weight loss surgery is that it is completely reversible. Sutures that bind the stomach together can be removed if necessary, and the original stomach capacity can be restored.
The Bariatric Times conducted a study on patients who had the gastric plication procedure, and reports that these patients demonstrated satisfactory weight loss, and had the lowest complication rates among all weight loss surgery procedures. The study also concluded that the outcomes were more immediate in gastric plication than in other weight loss surgeries.
Additionally, another advantage to gastric plication is that the nutrition absorbing capacity of the stomach remains intact. Patients don’t typically experience food intolerance, as they can in other weight loss procedures.
Compared to laparoscopic adjustable gastric banding, gastric plication does not require a medical implant, nor does it require periodic adjustments. Patients who undergo gastric plication will not experience common complications sometimes experienced with the Lap-Band (erosion, slippage, or leaking), port problems (displacement, leaking, or infection), or stoma blockage.
We’ll be providing more information on gastric plication and advances in weight loss surgery here and on our weight loss surgery blog. Be sure to sign up for our e-newsletter to get the latest news and updates.
In some studies the sleeve does better than the plication. So- something to consider
Dr. Terry Simpson
Dr. Terry Simpson received his undergraduate and graduate degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. He found he liked people more than petri dishes, and received his MD. Dr. Simpson, then became a renowned weight loss surgeon, and a leading advocate of culinary medicine. The first surgeon to become certified in Culinary Medicine, he advocates teaching people to improve their health through their food. On the other side of the world, he has been a leading advocate of changing health care to make it more "relationship based," and his efforts awarded his team the Malcom Baldrige award for healthcare in 2011 for the NUKA system of care in Alaska. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.” For media inquiries, please visit www.terrysimpson.com.