Banded Plication


Banded Plication

Banded Plication is a combination of two procedures: the gastric band and a new investigational procedure called gastric plication, or plication. During plication, the stomach is folded in on itself and stitched in place. This greatly reduces the stomach’s volume . In addition, a gastric band – most commonly the Lap Band – is placed around the upper part of the stomach. The band compliments the effects of the plication by also significantly reducing the amount of food eaten, as well as feelings of hunger.

Gastric plication with the band

How it Works
Weight loss with the gastric band is generally slower than with other procedures like the sleeve or gastric bypass. However, since the band is adjustable, patients have ongoing follow-up and “fills” (adjustments). Other than the benefit of a personalized process of finding the optimal tightness of each patient’s band, the adjustable nature of the band means that patients who relapse and begin to gain weight back, can often be helped back on track by further adjusting the band. No other weight loss procedure has this benefit. The banded plication was created with the idea of combining the advantage of the rapid early weight loss seen with plication, and the ability to further sustain weight loss for a longer period of time with the adjustable gastric band.

Weight Loss Trends
Although there is significant data about the weight loss that occurs with a gastric band, the banded plication is a new and experimental procedure, so there is very little data available yet. Additionally, even plication performed on its own is a new procedure, and considered investigational because of the current lack of data in terms of safety or efficacy. Short-term clinical studies on the plication have reported that patients lose between 40% to 70% of their excess body weight during the year following the surgery. Additionally, many co-morbidities improve or resolve after weight loss surgery. However, clinical trials comparing either plication or banded plication to standard bariatric procedures are not available yet.
Our short term results have been promising. Our first 50 patients have shown better than average weight loss, when compared to patients who have not had the plication.

Potential Complications
All surgeries have risk of complications. Potential complications of Banded Plication include infection, bleeding, injury to other organs, and a leak from the suture line used to fold the stomach. We will inform you about the risks associated with the various weight loss surgery procedures. It’s important to make sure you understand both the benefits and risks of any procedure you consider.

Conclusion

We are quite excited to offer this- and think this may be a great addition to the band.

Dr Terry Simpson About Dr Terry Simpson
Dr. Terry Simpson received his undergraduate and graduate degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. He found he liked people more than petri dishes, and received his MD. Dr. Simpson, a renowned weight loss surgeon, is a leading advocate of culinary medicine. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.” For media inquiries, please visit www.terrysimpson.com.