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Gastric plication in Poland - All you need to know

Updated January 25, 2019

slim belly after a gastric plicationWhat is Gastric Plication Surgery?

Gastric Plication surgery is a laparoscopic technique which is minimally invasive weight-loss procedure whose main aim is reducing the stomach’s size nearly up to three ounces.

With Gastric Plication it is not necessary to use an implanted device (as in Gastric Banding). Moreover, contrary to Gastric Sleeve surgery, Gastric Plication is a reversible procedure as a part of the stomach is not removed. Additionally, Gastric Plication does not require rerouting and reconnecting the intestines like in Gastric Bypass. Also, as it is a restrictive type of weight-loss surgery, which means that it restricts the amount of consumed food the stomach is able to hold.  Therefore, you feel full sooner so you do not require to eat much. As Gastric Plication uses laparoscopic techniques, the recovery period is faster and leaves fewer scars than in open surgeries. Usually, you need to stay one or two days in the hospital and generally, you may come back to daily routines 10 days after the surgery yet the recovery time varies and is different in each case.

Why Gastric Plication is a good solution for me

The surgery is usually performed laparoscopically, therefore it only involves small surgical cuts, shorter recovery period and minimalizes the possibility of risks and complications.  Gastric Plication is a reversible procedure as sutures which are used to fold the stomach may be removed if needed and the primary capacity of the stomach is restored. After the surgery, the capacity of the stomach in nutrition absorption is still the same. Moreover,  in Gastric Plication procedure stomach is not removed, intestines are not rerouted and there are no any other devices used like staples, bands or adjustments. A year after the surgery, patients may notice first weight-loss effects of about 40-70% of the excess weight. Great benefits of the surgery are improving and resolving obesity-related conditions which are hypertension and diabetes.

Who is a  good candidate for Gastric Plication

The best candidates for Gastric Plications are those who suffer from obesity or morbid obesity who tried to losing weight through diet and exercises for a longer period of time yet failed. Also, those who deal with obesity-related issues like diabetes or hypertension may also be qualified for the surgery, however, they should not suffer from any medical conditions which may pose a potential danger to the surgery. Most of the candidates for Gastric Plication have a BMI from 30 to 40 which means they are moderately obese. In case a person has a BMI more than 40, a Gastric Plication may not be a good solution and throughout consideration is required prior to the procedure just to ensure that a patient is safe and the surgery will be effective.

Prices of Gastric Plication

Prices of Gastric Plication abroad depend on the clinic’s location. For example, the price for Gastric Plication in the USA is on average from 7 000 GBP to 11 500 GBP, in the UK from 6000 GBP in Poland it begins from 3 000 GBP. However, the price depends on the actual weight of a patient and the desired results.

Preparing for  Gastric Plication

The preparation for Gastric Plication should be followed by personal consultation with a surgeon. In the meantime, the most important and general tips for the preparation for the procedure will guide you through the preparation process.

Discuss all medications you receive with the surgeon

It is vital to inform your surgeon about all the medication, vitamins and supplements you take before having the procedure in order to avoid complications. It also vital due to the fact that some medications may interact with medication which is prescribed during and after the procedure. Also, vitamins and some supplements may intensify the risk of bleeding.

Quit smoking

Smoking, using tobacco or other nicotine products should be quited as soon as possible before the surgery and during the whole recovery period. This recommendation is due to the fact that these types of products may pose a risk of having complications after the Gastric  Plication

Healthy Diet

Before the surgery, patients should change their eating habits and pay attention to introduce a healthy diet. You should refrain from unhealthy foods like fried ones, sweets and fatty foods. Preferably, start eating fresh fruits and vegetables, food rich with proteins especially from lean meats, nuts or grains. Due to these changes before the surgery, they help a patient to stick to dietary recommendations after the surgery which will greatly influence the weight loss procedure.

Keep track of meals and snacks

Due to the fact that the size of the stomach is reduced after the Gastric Plication, it is of great importance for a patient to stick to dietary restrictions following the surgery. Paying attention to the meals and snacks consumption ( generally three meals and one or two snacks following the surgery) may be of great help for those who need to introduce dietary changes.

Start exercising

For those who did not have a habit of exercising, they should add some physical activities on a daily basis before the surgery. Even a short walk will be a good choice as the exercises do not need to be strenuous. Over time, you can gradually change the intensity of exercises so that your body will adjust to them and also you will avoid injuries.

Do not overeat a few weeks before the surgery

You may be tempted to eat a lot of your favourite before the surgery in the preparation period. It is so vital due to the fact that overeating a few weeks following the surgery may contribute to weight gain and influence the recovery time making it more difficult.

How is Gastric Plication done?

Gastric Plication is a laparoscopic procedure where a large incision is made in the abdomen and next to a surgeon makes small incisions where trochanter is inserted. They are used for holding miniaturized surgical instruments and a camera which is connected to a monitor in the operating room. Thanks to the laparoscopic technique it reduces the risk of complications before and after the procedure.

During the procedure, the surgeon guided by the monitor prepares a fold from the patient’s stomach and connects the ends. The second fold is made over this one and sutured one more time. Due to this, the stomach’s capacity is smaller up to 70%, therefore, a patient feels fuller sooner than usual and eats less food as he used to. Also, it is reported that patients are not as hungry as they were after Gastric Plication.

As Gastric Plication is a reversible procedure it does not involve partial removal of the stomach and rearranging digestive system in a dramatic way (unlike other bariatric surgeries). Moreover, it does not affect the absorption of nutrients as other weight loss surgeries do. Generally, the procedure takes about 40 minutes up to 2 hours and a patient should stay in the hospital only a day or two.

Recovery and diet after the Gastric Plication

After the surgery patients are fully recovered within one month. As Gastric Plication is a restrictive procedure it significantly diminishes the stomach’s size and restricts the amount of food which is consumed during a meal. Moreover, it does not bring about limited absorption of nutrients or it does not bypass the intestines. Even after a small amount of food you ate, you will feel quickly full and this sensation will even last for several hours. Most importantly, Gastric Plication may also lead to a decrease in appetite. Light exercises like walking should be introduced at least a month after the surgery

Life after the surgery

After the period of recovery diet, you will gradually start to add up new products with larger quantity up to about 6 months following the surgery when your bariatric diet comes to an end. Changing and introducing new eating habits is always strongly connected with all bariatric surgeries in order for a procedure to be effective and for you to be fully satisfied. Providing that you keep to the diet and follow exercises introduced by the surgical staff, it is claimed that weight loss and improvement in health after the Gastric Plication may be a lifetime. Nevertheless, in some cases after the Gastric Sleeve, some patients may experience weight gain which results in stomach stretching after some period of time.

Post-surgery nutrition

Following the surgery, a new nutrition plan is introduced by your surgeon or/and dietician and they will definitely explain to you how to accustom to changes in your diet and lifestyle habits you should follow. It is vital to stick to new instructions immediately after the procedure.  During the very first few weeks after the surgery, you will be on a liquid diet as only thin liquids may be tolerated by the stomach. During the healing period you will slowly introduce pureed foods ( 3 to 4 weeks following the procedure) and after that soft foods ( 5 weeks after the procedure). In the end, you can eat solid foods yet you need to do it reasonably.

It is suggested to eat only three small meals per day and pay attention to the number of nutrients they contain. Moreover, you need to get used to eating slowly and chewing food very carefully. You should also avoid milkshakes, syrups, jams and pastries as these types of food do not contain a much nutritional value.

Exercise plan

Regular exercises are vital and introducing them into your daily routine significantly increase the positive effects of the surgery.  Frequently patients who underwent weight loss surgery resigned from physical exercises due to diminished activity tolerance, psychological issues and in some instances, physical disabilities.

Depending on our fitness abilities, the surgeon may introduce more advanced activities after 30 days. Among them may be swimming or light aerobic exercises and for some patient, water aerobics may be a great option as it does not affect back hips, knees, ankles and it is a perfect cardiovascular activity. Despite the number of exercises you undertake, it is still recommended to keep to low aerobic level exercises.

Gastric Plication side effects

Firstly, it is vital to differentiate between side effects and serious complications. However, side effects are only restricted to small, short-term problems which are resolved quickly. These are yet more frequent than severe complications which so far were proved to be uncommon in Gastric Plication procedure especially in comparison to other weight loss surgeries., The most common complications may be infections, internal bleeding and in the long run malnutrition. Moreover, another frequent side effects of Gastric Plication may include nausea frequently with vomiting. In most cases, these issues may be controlled with medications. Almost in all patients, nausea cedes after one week.

Another frequently experienced side effect of Gastric Plication procedure is an alteration in bowel function which may be followed by diarrhoea or constipation. During the first two weeks after the surgery, a liquid diet is introduced and then a small amount of food of different consistencies is incorporated gradually. After six months patients are allowed to follow a normal diet presented by the surgeon and all problems with bowel function should be tackled.

In comparison to other weight loss surgeries, short-term weight loss after Gastric Plication is usually modest. One major side effect would be a discouragement, therefore, patients should stay optimistic as losing excess weight is a gradual process which required time and dedication.

If you are considering affordable Gastric Plication for weight loss and you want to have cheap Gastric Plication done safely, you need definitely consider Poland as one of the destinations. With highly experienced surgeons and newly equipped hospital, your stay will be comfortable. If you would like to know more information about the procedure, and why Gastric Plication may be a good solution for you, do not hesitate but contact – our customer advisor will be glad to help you with. Like in any other weight-loss surgeries, preparation for Gastric Plication is of great importance in order to achieve the most desirable results. Therefore prior knowledge of the procedure and following the recommendation is vital.


  1. www.health.ucsd.edu/specialties/surgery/bariatric/weight-loss-surgery/Pages/gastric-plication.aspx
  2. www.ezinearticles.com/?Gastric-Plication:-Advantages-and-Disadvantages&id=7244898
  3. www.tijuanabariatriccenter.com/blog/2017/03/13/who-is-a-good-candidate-180531
  4. www.medigo.com/en/bariatric-surgery/gastric-plication
  5. www.tijuanabariatriccenter.com/blog/2017/11/26/preparing-for-gastric-sleeve-plication-187365
  6. www.navicenthealth.org/bmi/gastric-plication
  7. www.salusmedical.solutions/en/view-procedure/12/2/32/0/65/laparoscopic-gastric-sleeve-plication-surgery
  8. www.tijuanabariatriccenter.com/blog/2017/01/11/gastric-sleeve-plication-surgery-side-178699

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