Gastric Plication

Laparoscopic Greater Curvature Plication (LGCP), also called Gastric Plication is an emerging procedure where the stomach is folded onto itself. Plication means “a fold”. The procedure involves freeing one side of the stomach, which allows the surgeon to access both the front and back surfaces of the stomach. Then one side of the stomach is folded and fastened. The fold creates a narrower stomach which reduces the volume it can hold. No gastric tissue is removed in this procedure.

Advantages may include

based on early clinical data

  • Effective surgical weight loss at 12 months – on average, patients lose greater than 50% of their excess weight. 1,2,3,4
  • Possibly fewer follow-up office visits to your doctor, compared to patients with an adjustable gastric band who must return to the doctor for band adjustments
  • Achieve effective weight-loss by restricting the amount of food eaten. Procedure is not dependant upon malabsorption for effective weight loss
  • Receiving the benefits of food restriction with:
  • Potentially reduced risks of complications associated with a permanent gastric band implant 1
  • Minimized possibility of leaks from staple lines 3

Disadvantages may include

based on early clinical data

  • Immediately following the procedure, the most commonly observed issues were nausea and vomiting. 1,2
  • Additional studies are needed to evaluate long-term outcomes. Talk with your doctor about other possible complications and risks.

1. Ramos A, Galvao Neto M, Galvao M, et al. Laparoscopic Greater Curvature Plication: Initial results of an alternative restrictive bariatric procedure. Obes Surg. 2010; 20 (7): 913-918.
2. Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech. A 2007;17(6):793–8. (DSL 09-1251).
3. Brethauer SA, Harris JL, Kroh M, et al. Laparoscopic gastric plication for the treatment of severe obesity, Abstract. Surgery for Obesity and Related Diseases. May 2010;6(3):S16.
4. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: A systematic review and meta-analysis. JAMA. 2004;292:1724-1737.