Laparoscopic gastric plication

Laparoscopic Gastric Plication

Obesity has become a significant health concern among both children and adults over recent decades. Obesity is diagnosed when the Body Mass Index (BMI) exceeds 30 kg/m². This condition not only leads to psychological and social challenges but is also associated with an increased risk of hypertension, type 2 diabetes, sleep apnea, and certain types of cancer.

About the Procedure

This stomach surgery is one of the most modern minimally invasive methods for treating obesity. The aim of the procedure is to create a narrow gastric tube by folding and suturing the existing stomach, thereby reducing its capacity. Laparoscopic gastric plication reduces stomach volume by approximately 70%. Following the procedure, patients are able to eat significantly less than before, and the feeling of fullness is achieved much sooner.

Who Is This Procedure Suitable For?

This procedure may be suitable for you if previous attempts at weight loss through physical activity and dietary modifications have not been successful and if you are at high risk of developing obesity-related conditions, such as gastroesophageal reflux disease (GERD), heart disease, high blood pressure, high cholesterol, sleep apnea, type 2 diabetes, stroke, and other related disorders. The procedure is most commonly performed on patients with a Body Mass Index (BMI) exceeding 35.

During the Procedure

The procedure is performed under general anesthesia. Typically, 5–6 small incisions are made, through which a laparoscope equipped with an integrated camera and specialized long instruments are inserted to access the surgical area. The operation usually takes approximately 2–3 hours. Laparoscopic gastric plication is considered one of the safest bariatric procedures because the stomach is not removed or divided. Instead, a tube-shaped stomach is created by suturing and folding the stomach wall.

After the Procedure

This procedure can result in significant weight loss. Patients typically lose approximately 50% of their excess body weight within 1–2 years after surgery. In many cases, medications for type 2 diabetes are no longer required following the procedure if they were previously being used.

Patients can usually return home two days after surgery. A liquid diet is generally recommended for approximately two weeks, followed by the gradual introduction of a balanced diet. Nutritional guidance for the following months is provided during a postoperative consultation with a dietitian. Most patients can return to their normal daily activities within 2–3 weeks after surgery.

Important

During the first few months, patients may experience fatigue, mood changes, and dry skin. These symptoms are a normal part of the body's adaptation to rapid weight loss and generally improve over time.

It is important to understand that stomach reduction surgery is only one component of the weight loss journey. Achieving and maintaining the best possible results requires long-term lifestyle changes and the adoption of healthy eating habits.