Laparoscopic GCP

ROBOTIC, LAPAROSCOPIC GREATER CURVE PLICATION (GCP)

– Once popular for the treatment of severe obesity and severe diabetes, it became outdated and numbers declined worldwide because of less efficacy and availability of better surgeries.

– Procedure:

  1. Performed by robotic or laparoscopic method (By putting small holes over the tummy) using advanced high quality imported laparoscopic equipment and instruments.
  2. Greater curve of stomach is inverted (folded) into the stomach and sutured in order to reduce the stomach volume.
  3. As stomach capacity is reduced, patient can’t take large quantity of food at a time.

– In India and Asia,

  1. Individuals suffering from severe obesity with the body mass index is ≥ 32.5 kg/m2 with co-morbid medical conditions such as type 2 diabetes.
  2. Individuals suffering from severe obesity with the body mass index is ≥ 37.5 kg/m2 even without any co-morbid medical conditions.

– In Western countries

  1. Individuals suffering from severe obesity with the body mass index is ≥ 35 kg/m2 with co-morbid medical conditions such as type 2 diabetes.
  2. Individuals suffering from severe obesity with the body mass index is ≥ 40 kg/m2 even without any co-morbid medical conditions.

– GCP is purely a restrictive procedure.

– It acts mainly by limiting calorie intake.

– Physiological changes responsible for weight loss after GCP are negligible unlike other bariatric and metabolic surgeries.

– Average excess weight loss is < 50%.

– Some may lose above average, even 100% of the excess weight loss but that number is less.

– For Example – If you are 50 kg excess weight, you lose approximately < 25 kg on average. Some may lose all the extra 50 kg but that number is less.

– Generally if your weight burden is less, you lose more percentage of excess weight and if your weight burden is more you lose less percentage of excess weight.

– Total weight loss percentage is ~ 15 to 20%.

– Average diabetes remission < 50%.

– It is necessary to follow lifestyle modifications to improve weight loss and diabetes remission and to prevent weight regain and diabetes recurrence.

– It is easy to perform.

– Complications are very few.

– Hospital stay is very short (less than 1 day).

– Staplers are not used so cost is less.

– Since there are negligible physiological changes after GCP, weight loss and diabetes remission are inadequate.

– As time goes on stomach expands. Weight regain chances are very high once stomach expands.

– It is very very safe procedure.

– It is a life saving surgery.

– Severe obesity and severe diabetes are dangerous.

– Bariatric and Metabolic surgeries are very safe.

– Complications are very rare. Even if they occur, they can be rectified.

CHECK YOUR BMI