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Gastric plication is a modern bariatric surgery in which the stomach is reduced in size by folding its walls without removing any tissue. The procedure is performed laparoscopically through small incisions in the abdominal wall and can reduce the stomach’s capacity by up to 70%. The goal is to promote weight loss in patients with obesity, particularly those with a Body Mass Index (BMI) over 35. Advantages of this method include preservation of the organ, a lower risk of complications, and the possibility of reversing the procedure if necessary. In the long term, success depends largely on consistent lifestyle changes.
At what BMI (Body Mass Index) is the surgery performed?
The procedure is suitable for patients who are severely overweight (BMI ≥ 35) and for whom diet, exercise, and behavioral therapy have not been sufficiently effective. Gastric plication is classified as a restrictive bariatric procedure because it limits food intake by reducing the stomach’s volume.
Unlike other surgeries such as gastric bypass or sleeve gastrectomy, this method does not involve the removal of any part of the stomach. As a result, the digestive tract remains completely intact.
Before the procedure, a detailed consultation with the doctor always takes place to determine whether the method is suitable and what long-term lifestyle changes will be necessary.
Procedure for the Laparoscopic Surgery
Preparation and Procedure
The surgery is performed under general anesthesia as a laparoscopic procedure. The surgeon makes several small incisions (usually 0.5–1 cm) in the abdominal wall to insert the instruments into the abdominal cavity. The stomach is then folded inward along the greater curvature and secured with strong sutures.
This significantly reduces the volume of the stomach—usually to about one-third of its original capacity. No tissue is removed during the surgery, and no foreign materials are used. The procedure usually takes 60–90 minutes.
After surgery, most patients remain in the hospital for two to three days for observation until they can eat without difficulty again.
Benefits and Risks
This laparoscopic procedure offers a number of advantages over other methods. Since no part of the stomach is removed, the natural digestive tract is preserved. The risk of complications such as leaks or vitamin deficiencies is lower than with other surgeries. Additionally, the procedure is reversible—the folds can be released if necessary.
Advantages:
- No implants or foreign bodies
- Lower risk of deficiency symptoms
- Shorter recovery time
- Significant weight loss with consistent lifestyle changes
Risks:
As with any surgery, complications can occur, such as suture leakage, bleeding, or infections. Nausea or temporary digestive issues may occur in the first few weeks. Close monitoring by a doctor is therefore essential.
Postoperative Care, Nutrition, and Lifestyle
Long-term success depends crucially on consistent lifestyle changes. After the procedure, patients initially follow a liquid diet, followed by soft and solid foods. The body must adjust to the new stomach volume, and eating habits change significantly.
It is recommended to work with a nutritionist and your treating physician to achieve healthy and sustainable weight loss. Regular exercise and a lasting lifestyle change are crucial for maintaining the reduced weight over the long term.
Costs, BMI Limits, and Website—List of Qualified Specialists
The cost of the surgery ranges from 5,000 to 9,000 euros, depending on the clinic and the complexity of the procedure. Health insurance typically covers the costs only when medically necessary—usually when the Body Mass Index (BMI) is above 35.
A detailed consultation with the doctor is required before the procedure to discuss your health status, expectations, and alternatives.
You can find suitable specialists and clinics on the respective institution’s website or through medical portals. It is important to choose an experienced surgeon who performs the procedure regularly.
FAQ – Frequently Asked Questions About Gastric Plication
How much weight can you lose with gastric plication?
Depending on your starting weight, weight loss in the first twelve months can amount to 40–60% of excess weight. Success depends heavily on lifestyle changes.
Is gastric plication reversible?
Yes. Since no part of the stomach is removed, the procedure can be reversed. The folds can be surgically opened again, which nearly restores the stomach’s original volume.
How long does recovery take after surgery?
Patients are usually able to return to work after two weeks. Full physical recovery takes several weeks; a gradual adjustment to your diet is important.
What are the risks associated with gastric plication?
Possible risks include suture leakage, infections, or temporary digestive problems. Close monitoring by the doctor and adherence to dietary recommendations significantly reduce the risk.
