Laparoscopic gastric plication was recently proposed as a restrictive technique to reduce stomach capacity by infolding the greater curvature with sutures. It is similar to the sleeve gastrectomy but it does not cut away any stomach or implant any device around the stomach (gastric banding).

For these reasons, it could be a reasonable option for young patients and for those unwilling to have either a gastric resection or a foreign body implanted, in terms of reversibility. Moreover, the absence of staple lines should avoid the risk of leakage. The Gastric Plication surgery seems to offer a true vertical gastric restriction without the obstruction seen for AGB, where the band creates a true horizontal gastric partition.

Laparoscopic gastric plication, involves sewing one or more large folds in your stomach. During the laparoscopic gastric plication 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 Gastric Plication. The gastric plication may potentially be reversed or converted to another procedure if needed. The gastric plication procedure is minimally invasive and takes approximately one to two hours to complete.


  • Surgical risk for infections is very low
  • Normal function of the digestive system
  • It does not cut away any stomach or implant any device around the stomach
  • No diet restrictions
  • The gastric plication can be reversed by removing the sutures
  • Most patients stay in the hospital for 1-2 days after the procedure
  • Has a lower cost (almost 4,000€)


  • Gastric plication 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. This method is ideal for patients with BMI 35- 45kg/m₂. If BMI is > 45% before the surgery, the weight loss might be limited to 55% or less.
  • Gastric plication causes a great weight loss (over 50% of the weight in 80% of the patients). The greater loss is being noticed during the first 6 months. So far, there is no data about the stabilization of the weight loss, after 3 years.
  • Future weight gain cannot be excluded

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