Laparoscopic Adjustable Gastric Banded Plication (LAGBP): The Next Big Thing?

Abstract

Bariatric surgery comprising various restrictive, malabsorptive and combined procedures is an effective modality in treating morbid obesity. Laparoscopic adjustable gastric banded plication (LAGBP) is a novel restrictive bariatric procedure which was introduced in 2009. LAGBP may provide comparable results to laparoscopic sleeve gastrectomy at 2 years in terms of complications, % excess weight loss (EWL) and co morbidity resolution. Modification in technique to a standardized LAGBP procedure which includes preserving right gastroepiploic vessels and standard plication volume facilitates in safety and feasibility of this procedure. The EWL at 6 months is 46.3 % (range 29.38-73.35). LAGBP has been proven to be an effective bariatric surgery in the mid-term and may become a popular and cost effective technique.