LAPAROSCOPIC ADJUSTABLE GASTRIC BANDED PLICATION (LAGBP)
Laparoscopic gastric plication has emerged as a new bariatric procedure with promising results. This paved the path for further innovation and conception of a new procedure known as “Laparoscopic Adjustable Gastric Banded Plication”. This dual restrictive procedure involves gastric greater curvature placation or infolding of the stomach to form a gastric sleeve followed by placement of an adjustable band in the upper part of the stomach.
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Combination of Gastric plication and gastric banding makes it dual restrictive with powerful weight loss comparable to sleeve gastrectomy and gastric bypass surgery. The rationale behind this surgery is that the plication “switches on” the initial weight loss process. Then adjustment of band further initiates the second phase of weight loss and maintains the success through serial adjustments. In addition to quicker weight loss from gastric plication, far less adjustments are required than with just having the band alone. In LAGBP, the disadvantages of gastric banding and gastric plication are taken off by each other. Gastric band doesn’t let plication to dilate over a period of time and gastric band doesn’t slip now because of the plicated stomach.
Unlike other bariatric surgery procedures, there is no stapling involved with LAGBP. No part of the stomach or intestines is cut or removed either. They are just folded from within followed by band placement. LAGBP can be reversed to normal anatomy or revised to any other procedure.
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Facts about Laparoscopic gastric plication
- Dual Restrictive
- Reversible
- No Stapling
- No Cutting
