ARH Bariatrics

Laparoscopic Gastric Plication (LGPC)


There are several types of bariatric (surgical weight loss) procedures. Some procedures like laparoscopic gastric bypass and laparoscopic sleeve gastrectomy restrict the amount of food that can be eaten at one time and others bypass segments of the intestines to limit the absorption of calories like Roux-en-y gastric bypass. Laparoscopic Gastric Plication is a restrictive procedure that reduces the size of the stomach and limits food intake. This procedure is also referred to as Laparoscopic Greater Curvature Plication (LGCP).

How Is LGCP Performed?

We perform the LGCP as a laparoscopic procedure. This involves making small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.

LGCP involves sewing one or more large folds in your stomach. During the LGCP, the stomach volume is reduced about 70% which makes the stomach able to hold less and may help you eat less. There is no cutting, stapling, or removal of the stomach or intestines during the LGCP. The LGCP may potentially be reversed or converted to another procedure if needed.
The LGCP procedure is minimally invasive and takes approximately one to two hours to complete. Most patients stay in the hospital overnight.

How Does LGCP Cause Weight Loss?

LGCP is a restrictive procedure. It greatly reduces the size of your stomach and limits the amount of food that can be eaten at one time. It does not cause decreased absorption of nutrients or bypass your intestines. After eating a small amount of food, you will feel full very quickly and continue to feel full for several hours. Gastric Plication may also cause a decrease in appetite.

Gastric Plication: Reducing stomach volume by folding in the stomach wall. Stitches are placed in the stomach to secure the folded stomach wall.

 

Who is a candidate for LGCP?

The LGCP procedure is relatively new, and considered investigational as a primary procedure for weight loss. It was pioneered by Dr. Philip Schauer and colleagues at the Cleveland Clinic. Currently, insurance companies do not cover the LGCP. Therefore, patients are required to self-pay for the procedure. A financial coordinator from BBSA will will be available to discuss payment options with you. BLIS coverage and financing are both available for LGCP. What Are The Risks Of LGCP?
There are risks that are common to any laparoscopic procedure such as bleeding, infection, injury to other organs, or the need to convert to an open procedure. There is also a small risk of a leak from the suture line used to imbricate/plicate ("fold") the stomach. These problems are rare and major complications occur less than 1% of the time.

What Are The benefits Of LGCP?

Depending on their pre-operative weight, patients can expect to lose between 40% to 70% of their excess body weight in the first year after surgery. Many obesity-related co-morbidities improve or resolve after bariatric surgery. Diabetes, hypertension, obstructive sleep apnea and abnormal cholesterol levels are improved in more than 75% of patients undergoing a bariatric procedure. Though long-term studies are not yet available, the weight loss that occurs after LGCP results in significant improvement in these medical conditions in the first year after surgery.