Gastric Sleeve Plication is one of the recent procedures introduced in bariatric surgery in Texas.
It is also known as gastric imbrication, laparoscopic greater curve plication (LGCP), pleat or stapleless or reversible gastric sleeve (considered an investigational procedure due to lack of long term data about the safety or efficacy of the procedure). Some view the plication procedure as “the most exciting advancement in weight loss surgery since adjustable gastric banding.”
The GASTRIC PLICATION / LGCP procedure is similar to gastric sleeve surgery, but the sleeve plication is created by folding and suturing the stomach in itself rather than cutting, stapling and permanently removing it. Since the stomach is not divided or removed the plication procedure virtually eliminates the potential major complication risks associated with traditional Gastric Sleeve such as leaks, bleeding, strictures caused by excess scar tissue. Since there is no implant associated with the plication procedure, theoretically the long term complications should be less than a lap band. The procedure is reported to cause weight loss results similar to Gastric Sleeve in some preliminary international studies. Even though we expect very few if any short term or long term complications with this procedure there is not enough published data regarding the gastric plication procedure and therefore the bariatric surgery society considers the procedure as investigational just as they did with the gastric sleeve several years ago.
A study was published in a recent Bariatric Times journal and reports post-operative outcomes for 66 patients (44 female) who had the gastric sleeve plication procedure between January 2007 and March 2010. No major complications were reported among the 66 patients. Weight loss outcomes are comparable to gastric bypass. The study describes gastric sleeve plication (also referred to as gastric imbrication or laparoscopic greater curvature plication / LGCP) as a restrictive technique that eliminates the complications associated with adjustable gastric banding and vertical sleeve gastrectomy—it does this by creating restriction without the use of implants and without gastric resection (cutting) and staples.
Dr. Ganta offers the Gastric Plication procedure utilizing the DaVinci robotic technology. Since this is a new procedure, insurance companies do not cover this procedure. Please contact our office for more information.