WHEN TO RESORT TO SURGERY?
General case
Specific cases
The Le Goff Technique is aimed at everyone, but there are some contraindications.
Specific cases include:
Specific cases include:
- Absolute contraindications against general anaesthesia for laparoscopic surgery
- Very severe psychiatric disorders (unstable serious psychosis)
- Very severe medical contraindications (extremely rare)
YOU ARE OBESE WITH A BMI OF 30 TO 35
YOU ARE SUPER-OBESE WITH A BMI GREATER THAN 50

The Le Goff Technique is aimed at the super-obese with post-operative results on weight loss equivalent to BMI < 50.
The results are equivalent both in terms of percentage of excess weight loss and in terms of the low rate of complications.
The Le Goff Technique is well indicated as it can be performed whatever the BMI. The results are just as good as when the BMI < 50 as this score just means that:
- Their history of morbid obesity is longer in time
- The surgical treatment was later
- Their personal history is more complicated
GASTRO-OESOPHAGEAL REFLUX
Clinical, endoscopic or radiological reflux with hiatus hernia (search for oesophagitis, search for hiatus hernia) poses no contraindication for the Le Goff Technique.
The reflux is cured at the same time as the Le Goff Technique.
Anti-reflux surgery:
- Dissection of the hiatal orifice + closing of the diaphragm pillars with 1 to 3 individual stitches
- Lengthening of the abdominal oesophagus
- Band attachment gastro-oesophageal anti-reflux valve
The reflux is corrected by the cure and this correction is enhanced by weight loss.
FERTILITY AND PREGNANCY
The weight loss generated by the Le Goff Technique enhances fertility and thus secondary pregnancies.
There are numerous “band babies” (pregnancies due to the Le Goff Technique).
There are fewer complications in pregnancy due to the weight loss generated by the Le Goff Technique.
Deficiencies are almost inexistent in the Le Goff Technique.
In the event of 1st trimester syndrome with significant vomiting, the band can be adjusted by deflating it.
There are numerous “band babies” (pregnancies due to the Le Goff Technique).
There are fewer complications in pregnancy due to the weight loss generated by the Le Goff Technique.
Deficiencies are almost inexistent in the Le Goff Technique.
In the event of 1st trimester syndrome with significant vomiting, the band can be adjusted by deflating it.
