Gastric Sleeve Plication
Laparoscopic Gastric Sleeve Plication also referred to as Greater Curvature Plication (GCP), is a bariatric surgery procedure that uses the restrictive technique to achieve weight loss. The surgery, performed laparoscopically (minimally invasive), is very similar to gastric sleeve surgery in the restriction of the stomach. Gastric plication is a less invasive weight loss procedure than the gastric sleeve and RNY gastric bypass – there is no cutting, stapling or bypassing the intestines. Gastric sleeve plication is an experimental procedure that hasn’t been studied to the same extent as gastric bypass or even gastric sleeve surgery.
The gastric plication surgery starts with placing the laparoscope and the instruments through small incisions in the abdomen to reach the stomach. The calibration tube is orally passed through the stomach. Non-dissolvable sutures are used to fold the stomach into itself thus allowing a smaller capacity. The first folding is performed along the outer edge of the stomach. The second folding reduces the size of the stomach to about 85% of its original size. This reduction in stomach capacity allows patients to feel fuller faster, thus inducing weight loss.