Gastric plication for obesity

Laparoscopic adjustable gastric banding (LAGB) is an established primary bariatric procedure. However, LAGB is associated with lower expected weight loss when compared to other primary bariatric procedures, and this is cited as the primary limitation of LAGB as a weight loss procedure. Greater curvature plication has been used in both bariatric and non-bariatric procedures with limited morbidity and comparable short-term weight loss to sleeve gastrectomy and gastric bypass. We describe the combination of LAGB and greater curvature plication as a single and novel bariatric procedure. In addition, this procedure can be performed through single-incision laparoscopic surgery (SLS). LAGB with greater curvature plication was performed with video recording. Still photographs were acquired from the high definition video in order to summarize and depict our step-by-step efficient approach. LAGB with greater curvature gastric plication is a feasible and simple procedure that can be performed through a SLS approach. This chapter outlines the procedure and highlights key points of operative technique. In addition, we review the literature in regards to gastric plication. Randomized controlled trials comparing these procedures are needed and likely to occur in the near future.

Duke Scholars

Author Dana Dale Portenier Surgery, Minimally Invasive Surgery