Gastric Plication

Laparoscopic Gastric Plication is the newest surgical bariatric procedure to be introduced into the field of weight loss surgery. The preliminary data demonstrates excellent weight loss at one and two years with this bariatric surgery. This surgery is also commonly referred to a gastric imbrication or greater curvature plication, regardless of the name, it is performed laparoscopically; that is through 5 small incisions.

There are three separate published studies world wide demonstrating the safety and efficacy of this procedure, however it must be stressed that this is still an investigational procedure. Therefore, it is not covered by insurance companies.

Dr. Domkowski believes this surgery represents another option for patients choosing to undergo surgery to treat obesity disease. For patients wanting significant weight loss, but not wanting a band because it is a long term implanted device, or those not wanting the sleeve because they do not want they to have a significant portion of their stomach removed, the gastric plication may be the perfect choice. Dr Domkowski believes it is a durable procedure and will be another "surgical tool" we have to offer our patients.

Dr. Domkowski has been personally trained in Laparoscopic Gastric Plication by Dr Corvola, a world renowned bariatric surgeon who has already performed over 200 laparoscopic gastric plications and is one of the pioneers of gastric plication. The procedure itself is relatively straightforward.

The actual surgery involves folding the stomach into itself so that the volume within the stomach is dramatically reduced, therefore you eat much less food. The typical volume of the human stomach is approximately 1.5 liters. Following the gastric plication surgery, the volume is typically less than 100 ml's.

Unlike the gastric bypass or sleeve, there is no stomach stapling. cutting or intestinal re-routing. Like any surgery there is always a risk of bleeding and infection but these represent less than a 1% chance of occurrence. This surgery is also potentially reversible or can be converted to another procedure if necessary.

Patients typically have to spend one night in the hospital. The typical recovery from this surgery is usually similar to the laparoscopic adjustable gastric band, people are back to work within 7-10 business days.

The published studies thus far demonstrate over a 60% excess weight loss at 1 and 2 years. Resolution of comorbidities, such as Type II diabetes, hypertension and sleep apnea have also been reported.

However, people choosing to undergo this surgery must understand that it is investigational and long term results are not yet known, however early results (1-3 years) appear very promising. If you would like to learn more about this procedure then sign for a free seminar today with Dr. Domkowski.