New York Banded Plication

Adjustable Gastric Banding with Gastric Plication in New York

One of the exciting new developments for bariatric surgery is known as banded plication. Right now, the Tristate New York Bariatric Group is one of a select few clinics offering a landmark study on the procedure.

For qualified patients, it’s an opportunity to receive one of the latest and most innovative types of weight loss surgery, and one which has shown immense promise. Here, you can learn more about the procedure, how it works and how it compares to other types of bariatric surgery.

Banded Plication
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What is Banded Plication?

Banded plication is a combined procedure which incorporates gastric plication with adjustable gastric banding. As opposed to the gastric band simply being placed over the top of the stomach to create a smaller stomach pouch, as is the case with lap band surgery, here, the greater curve of the stomach is basically folded over itself, eliminating the ability for the stomach to expand.

The band is inserted above the where the stomach is folded. This is therefore a procedure which combines and enhances the positive effects of both of its components.

The Tristate NYBG is renowned as a leading clinic, with five of the country’s top surgeons, with an unparalleled combined level of skill and experience. We’re happy to be involved in the further study of such a promising procedure, and to be able to offer this is an exciting alternative for prospective patients who are exploring their options.

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Phone: 800-633-8446

Benefits of Banded Plication

Banded plication offers prospective patients a number of great benefits. At the top of the list is its effectiveness for weight loss, both quickly and in the long term. One initial study showed that after one year, adjustable gastric banded plication patients saw excess weight loss of 46.1%, compared to 38.9% for lap band patients.

Another study showed that after two years, weight loss results for laparoscopic adjustable gastric banded plication were equal to those seen with laparoscopic sleeve gastrectomy. A third study of 80 patients showed that banded plication patients lost an average of 65.8% of excess weight within two years.

These great results come with a procedure which is less invasive than both gastric bypass and the gastric sleeve. Therefore, it improves upon the premise of the lap band with superior results.

Additionally, lap band with gastric plication is intended to require fewer follow-up appointments and band adjustments, while reducing the risk of band prolapse or slippage, one of the major complications associated with adjustable gastric banding on its own.

What to Expect During & After your Procedure

Patients are placed under anesthesia for this procedure, and the procedure is performed via laparoscope, utilizing only minimal external incisions. Your surgeon will partially cut the tissue and vascular attachment to the stomach along the greater (outside) curve of the stomach. This exposes the stomach’s front and back. The adjustable band itself is then inserted, at which point the stomach is folded in on itself below the band.

Stitches are used to keep the fold in place, and the band is connected via tubing to an access port for adjustment. The procedure takes less than two hours to complete, and typically a single night in the hospital is required.


New York Bariatric Group of NYC - Banded Plication

What are the risks of the Banded Plication Procedure?

One of the great advantages of lap band with gastric plication is that it adds only minimal risk to the adjustable gastric banding procedure itself. It is still less invasive and risky than either the gastric bypass or sleeve, with no cutting or stapling of the stomach. Additionally, the intestinal track remains in normal continuity. The risk of band slippage is reduced here as well.

Any surgery and any procedure involving anesthesia still does carry risk. Specific additional risks here may include band erosion, or infection of the band or access port. Additionally, this is still an investigative procedure being studied, and long-term data is not available.

What type of diet will I need to follow after Banded Plication?

Following your surgery, you will move through a three-phase, six-week nutritional program. You’ll begin with an all liquid diet, and begin incorporating soft foods and solids on a step by step basis from there. More detailed guidelines and instructions will be provided to you by your surgeon.

Properly managing your diet after banded plication is of paramount importance to your long-term success. The Tristate New York Bariatric Group provides our patients with a comprehensive bariatric program to assist with this process, involving everything from ongoing patient education and assistance, to support groups and mentor programs. We also have a convenient online store where you can find easy access to doctor recommended foods, drinks and dietary supplements.

What is the cost of Banded Plication Surgery in New York?

Most major insurance companies cover the cost of bariatric surgery which meets their guidelines as being required for patient health. However, banded plication is a new procedure and is still investigative. We will help you navigate the process of insurance coverage. If you’re unable to obtain coverage, then we also have several financing options available.

I am ready to start, what is my next step?

For the best of both worlds, adjustable gastric banding combined with gastric plication is a wonderful new solution. It offers weight loss results superior to the lap band alone, while not adding substantial risk of complication.

To see if you qualify and if it makes sense for you to be a part of our landmark study, then call the Tristate New York Bariatric Group at 800.633.8446 today.

Weight Loss Surgery Success Stories

If you are ready to lose weight, you have many options at our Tristate Bariatric Group. We combine surgical expertise, patience, compassion, and the confidence to lead you through the journey to successful weight loss.