Laparoscopic Greater Curvature Plication (LGCP) is an investigational minimally invasive weight loss surgery. Dr. Weiss did the first LGCP in the state of Kentucky at Baptist Hospital Lexington in January of 2011.
In this minimally invasive procedure, the outer stretchy part of the stomach is freed up from its attachments to other intra-abdominal structures and then rows of sutures are placed on the outside of the stomach folding in and inverting the stomach so it is reduced in sized and holds less volume. This is done without cutting or removing the stomach. The sutures fuse over the next several weeks making the newly smaller shaped stomach permanent. It is not possible to remove the sutures and reverse the procedure. The principle is similar to deflating a basketball – it’s not cut, but holds less air.
LGCP is investigational and not covered by any insurance at this time. In Dr. Weiss’ experience, it appears to be a promising and effective weight loss surgical procedure, with weight loss generally quicker and better than with Adjustable Gastric Banding, but about 15% less weight loss than the Sleeve Gastrectomy.
It seems to work best in patients with a BMI less than 45 and is often the preferred option for patients with BMI’s less than 35. Dr. Weiss generally does not recommend LGCP for patients with a BMI greater than 50 as these patients seem to have suboptimal results with LGCP. Dr. Weiss also feels it’s the preferred option in patients who cannot proceed with the sleeve – such as those who cannot be tobacco-free for 8 weeks, cannot quit their oral or injectable steroids, etc.