Laparoscopic Greater Curvature Plication (LGCP)

This operation was described by an Iranian surgeon, Dr. Ahmad Talebpour. In this operation the stomach is folded unto itself in multiple layers to make it smaller and less likely to distend. The operation starts by liberating the stomach, sealing and dividing all the small blood vessels on the greater curve of the stomach. Folding is then done with multiple sutures in layers. The operation does not require any staples and is done laparoscopically. 

The LGCP is a new operation so long-term results are not available. It might be suitable for some patients, especially those who are not very obese and those who have had previous operations and need revisional surgery. More long-term data is needed before we consider the LGCP as a standard bariatric operation.

Risks and Side Effects
Immediate risks following the LGCP include DVT, PE, perforation of the stomach and bleeding. The risk of mortality related to the operation is low (less than 0.3%). Long-term problems, including weight regain might occur if some of the sutures disrupt. There is also concern that re-operation after the LGCP might be difficult making revisional bariatric surgery in this group of patients potentially risky.

Life after the LGCP
The average operation takes about 60 minutes and the average stay in the hospital is around 2 days. Nausea and vomiting is very common the first few days and more pronounced than in other bariatric operations. The phases of diet include clear fluids for ten days, thick fluids for ten days and soft food for ten days. Thereafter food intake becomes normal. Most patients return to work within 10 days of the operation and resume exercise three weeks later.

Long-term commitment to healthy eating habits and regular activity are important to guarantee the success of the operation.

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