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Gastric plication at BodyProjectTunisia

Gastric plication, part of the therapeutic arsenal in bariatric surgery, is an operation which consists in reducing the volume of the stomach through a continuous suture by an overlock with nonabsorbable threads, and this, for the purpose of ” help the patient eat less and thus effectively fight obesity.

Principle and mechanism of action

A relatively new procedure, gastric plication is considered a bariatric procedure which should be similar to the Sleeve gastrectomy. This is a restrictive procedure, that is, it can significantly reduce the size of the stomach and thus limit the volume of food ingested. There is no badly absorbing effect in this technique.

This restriction of gastric capacity is achieved by simple suturing of the anterior and posterior wall of the stomach along the large gastric curvature. The stomach volume is reduced by about 70%.


This bariatric surgery technique has several advantages, among which we cite:

  • A minimally invasive procedure
  • The absence of stapling-section of the stomach (Sleeve gastrectomy)
  • The procedure is potentially reversible.
  • The stay is short to medium: 2-3 days
  • Food comfort is better than with gastroplasty.
  • Vomiting is rare.
  • Return to usual activities is rapid after intervention
  • In case of failure, conversion to Sleeve gastrectomy or bypass is possible.

Operation and stay

Fasting for 6 hours is necessary before the operation which will be carried out under general anesthesia by laparoscopy in a period of approximately two hours.

Obviously, in order to prevent thromboembolic complications, a subcutaneous injection of fractionated heparin will be made and painkillers will be administered intravenously.

Following the intervention, it is essential to follow the eating habits provided so as not to compromise efficiency in the months that follow.

Post-operative recommendations

To guarantee the effectiveness of gastric plication, it is recommended to:

  • Mix and grind the food during the twenty days following the intervention.
  • Chew food well.
  • Opt for strict eating habits: 3 meals and possibly 2 snacks, avoiding drinking during meals.

Complications in gastric plication

Complications from the gastric plication procedure are possible but very uncommon. Mainly, sialorrhea caused by parietal edema, gastroesophageal reflux, vomiting, nausea, re-interventions due for several reasons, …

Support during the whole process

With our experienced and highly trained doctors, you will have the necessary and sufficient supervision to avoid post-operative complications. The skill level lowers the risk of any other possible complications.

Besides, a team of specialists is ready to advise you and give you the necessary information on the plication procedure. Before traveling, or even making the decision to operate, you can interact with them through the information page on our site and have the answers adapted to your case.

You can download the list of exams to do before the intervention by clicking here.


What our patients say

  Hello, I was operated on 09/17 by DR SkanderLouhichi, everything went very well. After a week I am 7 kilos lost. the welcome from the clinic staff was very warm and friendly and above all always caring for the...

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  Hello, I have been operated on for 2 years: Thank you so many times dear doctor skander for saving my life, thanks to you I have managed to change my life, to have confidence in myself, to feel good about myself...

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Antonio Mario

  Hello everyone, 50 years 107 kg, after many searches for a sleeve on the internet and some contacts I found Dr. SkanderLouhichi, did some research and that great testimonials, I contacted him by email and very...

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  Hello, Pleasantly surprised by the good progress of the intervention. Listening surgeon who responds to emails adequately. I was not loose in nature; a team (a nurse + the driver) picked me up at the airport. For...

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  I needed a second chance, thank god the dr louhichi gave it to me I’m starting to live again. I had surgery on OCT 02 2018, it has already gone 19 kilos lighter I am very...

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  I had a Sleeve on 04/03/2018 in Sousse in Tunisia. I was operated on by Doctor LOUHICHI Skander whom I would like to congratulate for all the support he gave me as well as the magnificent job he did with a very...

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Sabrina Ach.

  Hello, I was in moderate obesity and nobody wanted to hear me in France not well in my skin I had a bad being but his person did not want to hear it so I decided to do it abroad do several research and I came...

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  hello, I would like to add my testimony, I was in moderate obesity therefore not operable in France that is why I turned to doctor SkanderLouhichi specialist in obesity I therefore launched and had surgery on...

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  Hello, I was operated on December 26 by Doctor Skander for a Sleeve. Arrived at 11:40 am at the airport and Pick-up immediately with my husband. Room similar to French hospitals, with attentive staff. As soon as...

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