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Laparoscopic gastric plication for obesity

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Laparoscopic gastric plication for severe obesity should only be carried out in units specialising in bariatric surgery that can offer the procedure as one of a range of treatment options (1)

  • laparoscopic gastric plication aims to help patients lose weight by reducing the size of the stomach
    • usually done by plicating the greater curve of the stomach, although anterior plication has also been reported. Because none of the stomach is removed, it is potentially a reversible procedure

  • procedure is done with the patient under general anaesthesia, using several (usually 5 or 6) small incisions in the abdomen for the placement of a camera and ports for instruments
    • greater curvature plication involves freeing the greater curve of the stomach by dissecting it from the greater omentum and short gastric vessels
    • plication is done by folding the gastric wall inward along the greater curvature and securing this fold using rows of running sutures
      • modifications of the technique may include a double or triple plication of the greater curve, and this may need extra rows of sutures

  • patients are placed on a postoperative diet that typically involves progression from fluids to semi-solid foods, avoiding intake of solid foods for approximately 6 weeks.


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