Gastric Plication - World Laparoscopy Hospital

Frequently Asked Questions on
Laparoscopic Gastric Plication Surgery
Dr. R. K. Mishra
What is Laparoscopic Gastric Plication Surgery?
This procedure decreases the size of the stomach to restrict food intake among individuals who are
suffering extreme obesity. And because it is a new medical breakthrough, it is still considered in its
“experimental” stage nowadays.
How is this procedure done?
The patient will be sedated using general anaesthesia during the surgery. The entire procedure will be
guided by a camera which will be inserted in one of the small incisions made prior to surgery. Surgical
instruments will also pass through these artificially created small abdominal holes. The outer curvature
of the stomach will be folded with the use of a suture. And because its part remained intact and no
intestinal bypass has been done along the process, the entire procedure is reversible. This makes it
beneficial to the patient who wished to regain the normal size of one’s stomach years after the
procedure.

Will it take long to do the operation?
No, it won’t take long to perform Laparoscopic Gastric Plication surgery. In fact, it will only take 40-60
minutes to complete the entire process.
To whom is this procedure indicated?
This is considered to be the last resort of losing weight among clients who have a Basal Metabolic Rate
of not less than 40kg/m2. However, if the person is suffering from certain medical conditions such as
heart disease, type 2 diabetes or high blood pressure, a BMI of 35-40 kilogram/m2 will make one a
candidate for this type of surgery. But for those whose BMI is 50kg/m2, this procedure will be their first
line of option to manage their condition. For these people, weight loss medications and life style
changes will not suffice to address their morbid obesity.
Bottom line is, the bariatric team will have the final say whether this is the ideal surgery to manage your
weight loss. Hence, it is important to seek for their comprehensive advice.
What are the advantages that one can enjoy after undergoing this surgery?
Since the Laparoscopic Gastric Plication surgery is a new procedure, we can’t state its confirmative long
term benefits. However, patients who have gone through this surgery significantly lost their weight up
to 50-65% in as short as twelve to eighteen months post operatively. Such weight loss reduction also
improved these people’s health condition such as high blood pressure, type 2 diabetes, gastro
esophageal reflux, liver disorder, obstructive sleep apnea, high cholesterol levels, asthma as well as
painful arthritis.
Are there any risks involved in this procedure?
Though others significantly reduced their weight after this surgery, people with BMI of more than 45
kg/m2 have lesser chances to succeed in losing weight. Other possible complications include late
stomach obstruction, vomiting, internal bleeding, stomach leak and perforation, DVT, infection,

pulmonary embolism, weight regain and infection. In case you suffer from any of these conditions post
operatively, you need to seek for medical interventions right away.
Is there a tendency that I will regain my weight after the surgery?
Despite the reduced size of your stomach, it can still stretch when you take in lots of foods which may
result to increased weight. Hence, it is very vital that you change your lifestyle and still restrict your food
intake to obtain your desired weight.
World Laparoscopy Hospital
Cyber City, DLF Phase II, Gurgaon, NCR Delhi, 122 002, India
PHONES:
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