Gastric (sleeve) plication € 4100

The Gastric Plication is a relatively new laparoscopic procedure that involves reducing the stomach volume by folding it on itself (imbrication) and stitching (plication) the stomach wall reducing it to the size of a narrow tube. This surgery simulates the sleeve gastrectomy but doesn't involve any cutting, stapling or removing a portion of the stomach. The natural stomach remains; it is simply imbricated on itself so that the stomach volume is reduced.

Early experience have shown very similar weight loss than the sleeve surgery but potentially with less risk for leaks because there is no staple line. Patients usually are sometimes nauseated during the first few days trying to adapt to the new smaller stomach capacity. Diet adjustments include staying on liquids for 2-3 weeks and then advance slowly to solid food over the next 2-3 weeks. Patients usually feel less hunger and early satiety.

The procedure has no significant risk of malabsorption because there is no re-routing of the intestines, less risk of leak because there is not cutting and stapling involved, and no need for adjustments like with the gastric band.