Gastric Plication Complications

While gastric plication has shown some very promising early results, most notably in a Brazilian study conducted between 2007 and 2010 published in the Bariatric Times (, there are some drawbacks you should be aware of with this procedure.

In the study referenced above, there were no complications reported during the procedure itself, however due to the nature of the surgery, which is similar in nature to other stomach capacity reduction surgeries such as vertical sleeve surgery, there is the potential for the following complications during or shortly after gastric plication surgery.

  • Esophagitis
  • Stenosis
  • Fistulas
  • Gastric Leaks

Both leaks and fistulas are reported in nearly one percent of cases and can be very difficult to treat and are the biggest threat to the patients health during surgery

Non-Medical Related Drawbacks

Aside from medical complications there are other potential drawbacks which can be even bigger obstacles for many people. Due to the young age of this procedure, gastric plication is not yet fully supported in the United States. This means that the FDA hasn’t fully approved it’s use and insurance companies are unlikely to cover the costs of this procedure. Until more studies are done and more data is available covering the long term complications and success rates, it will continue to be a surgery that is more common to be performed abroad than it is within the U.S. This can be a major hurdle for many people.

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