Gastric Plication

  • Samuel Ordoñez Ortega
  • Eduardo Valdivieso Rueda
  • Juan Pablo Pantoja
  • Mauricio Sierra


LGP is a restrictive procedure recently introduced to the armamentarium of the bariatric surgeon. The operation follows a similar principle as the LSG, which is to construct a narrow gastric tube with restricted drainage from the pylorus. The surgical principle for LGP is to reduce the gastric capacity by folding the stomach onto itself with one or two layers of nonabsorbable sutures. No staplers are required, nor major gastric resection is performed. This makes for a less expensive approach with relatively low rate of complications. While early results have demonstrated efficient weight loss and metabolic control, there seems to be a marked tendency for revision surgery and conversion to more aggressive approaches because of inadequate weight loss control in the mid- and long term.


Bariatric surgery Gastric plication Endoscopic gastric plication 



The authors thank Dr. Antonio López Corvalá for his help and images to produce this chapter.


  1. 1.
    Kirk RM. An experimental trial of gastric plication as a means of weight reduction in the rat. Br J Surg. 1969;56(12):930–3.CrossRefPubMedGoogle Scholar
  2. 2.
    Tretbar LL, Taylor TL, Sifers EC. Weight reduction. Gastric plication for morbid obesity. J Kans Med Soc. 1976;77(11):488–90.PubMedGoogle Scholar
  3. 3.
    Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech A. 2007;17(6):793–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Esteban VJ, Nguyen NT. Laparoscopic sleeve gastrectomy leads the U.S. utilization of bariatric surgery at academic medical centers. Surg Obes Relat Dis. 2015;11(5):987–90.CrossRefGoogle Scholar
  5. 5.
    Brethauer SA, Harris JL, Kroh M, Schauer PR. Laparoscopic gastric plication for treatment of severe obesity. Surg Obes Relat Dis. 2011;7(1):15–22.CrossRefPubMedGoogle Scholar
  6. 6.
    Talebpour M, Motamedi SM, Talebpour A, Vahidi H. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012;6:7.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Skrekas G, Antiochos K, Stafyla VK. Laparoscopic gastric greater curvature plication: results and complications in a series of 135 patients. Obes Surg. 2011;21(11):1657–63.CrossRefPubMedGoogle Scholar
  8. 8.
    Verdi D, Prevedello L, Albanese A, et al. Laparoscopic gastric plication (LGCP) vs sleeve gastrectomy (LSG): a single institution experience. Obes Surg. 2015;25:1653–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Abdelbaki TN, Sharaan M, Abdel-Baki NA, et al. Laparoscopic gastric greater curvature plication versus laparoscopic sleeve gastrectomy: early out come in 140 patients. Surg Obes Relat Dis. 2014:1141–6.Google Scholar
  10. 10.
    Grubnik VV, Ospanov OB, Namaeva KA. Randomized controlled trial comparing laparoscopic greater curvature plication versus laparoscopic sleeve gastrectomy. Surg Endosc. 2016;30:2186–91.CrossRefPubMedGoogle Scholar
  11. 11.
    Darabi S, Talebpour M, Zeinoddini A. Laparoscopic gastric plication versus mini-gastric bypass surgery in the treatment of morbid obesity: a randomized clinical trial. Surg Obes Relat Dis. 2013;9:914–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Ji Y, Wang Y, Zhu J, Shen D. A systematic review of gastric plication for the treatment of obesity. Surg Obes Relat Dis. 2014;10:1226–32.CrossRefPubMedGoogle Scholar
  13. 13.
    Talebpour M, Talebpour A, Barzin G. Effects of laparoscopic gastric plication (LGP) in patients with type 2 diabetes, one year follow-up. J Diabetes Metab Disord. 2015;14:60.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Taha O. Efficacy of laparoscopic greater curvature plication for weight loss and type2 diabetes: 1-year follow-up. Obes Surg. 2012;22:1629–32.CrossRefPubMedGoogle Scholar
  15. 15.
    Kourkoulos M, Emmanouil G, Charalampos K. Laparoscopic gastric plication for the treatment of morbid obesity: a review. Minim Invasive Surg. 2012;2012:696348.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Aminan A, Brethauer SA, Andalib A. Can sleeve gastrectomy “Cure” diabetes? Long-term metabolic effects of sleeve gastrectomy in patients with type 2 diabetes. Ann Surg. 2016;264(4):674–81.CrossRefGoogle Scholar
  17. 17.
    Tang Y, Tang S, Hu S. Comparative efficacy and safety of laparoscopic greater curvature plication and laparoscopic sleeve gastrectomy: a meta-analysis. Obes Surg. 2015;25(11):2169–75.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Samuel Ordoñez Ortega
    • 1
  • Eduardo Valdivieso Rueda
    • 2
  • Juan Pablo Pantoja
    • 1
  • Mauricio Sierra
    • 1
  1. 1.Division of Endocrine and Laparoscopic SurgeryInstituto Nacional de Ciencias Médicas y NutriciónMexico CityMexico
  2. 2.Gastrointestinal and Endoscopic Surgery, International Digestive Diseases Center/FOSCALUniversidad Autónoma de Bucaramanga, La Sabana UniversityBogotáColombia

Personalised recommendations