Gastric plication surgery, sometimes called the pseudo sleeve surgery, functions much like the gastric sleeve by creating a smaller stomach that restricts the amount of food you can eat. This is a novel bariatric surgery procedure wherein a part of the stomach is sewn with nonabsorbable sutures to reduce its size. The shape and volume of the stomach becomes similar to that seen after sleeve gastrectomy. Although the long term data with this procedure are still not available, the short term results are quite promising. The possibility of dilation of the stomach in the long term is a concern which has curtailed the popularity of this procedure amongst surgeons.
However, this is an economical option for patients who cannot afford the previously mentioned procedures since stapling guns and cartridges which increase the cost of a procedure are not used in this procedure.