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Gastric Plication

Among the different Bariatric restrictive procedures that have arisen in recent times, gastric plication is a new procedure that has been added to help obese patients monitor the diet and lose weight. In such a procedure stitching and folding techniques are used to reduce stomach pouch volume. It becomes a small tube like structure and hence the amount of food it can hold is reduced is good.

This procedure has been introduced as a more advantageous process compared to sleeve gastrectomy where resection is performed; there are no foreign objects that are inserted in the stomach such as in gastric bypass called in gastric band.

What you need to know?

Gastric plication is suggested to patients who are morbidly obese. If they have been under the care of physicians who have tried other non invasive methods to help them reduce body weight, gastric plication is a solution that can be offered by physicians or surgeons who propose Bariatric restrictive surgery to such patients. Patients who have body mass index 40 or higher usually run the risk of other ailments such as heart conditions, aggravating diabetes and other social and physical problems.

At our clinic in Estonia patients are given details about this procedure and others under medical consultation of physicians and surgeons. They are given the option of surgery after their normal health conditions are diagnosed and assessed. Every patient is given advice and professional support regarding the procedure, what to expect in the postoperative period as well as medical expenses that are incurred.

In most cases, insurance companies cover such a procedure and its costs since it has been well established with low or minimal risk of complications. It is a laparoscopic surgery which helps to reduce size of the stomach and this in turn leads to limit the food intake. It is also known as greater curvature plication of the laparoscopic kind.

What to expect after gastric plication surgery?

Surgery is usually conducted on patients who have a body mass index of 30 and more. Patient is administered general anesthesia during this procedure and they are expected to stay 2 or 3 nights after the surgery to recover in the hospital. The expected weight loss is about 30 to 55%. It is a reversible operation procedure when there are no adverse impacts that have been seen in patients in the long term. Laparoscopic surgery is one where small incisions are made in the abdomen of a patient. That makes it a minimally invasive surgery.

The procedure is completed within a time span of 1 or 2 hours. This helps to limit the impact of anesthesia on the heart and lungs of the patient. Surgeons reduce stomach size by folding the lining of the stomach inside the stomach pouch. This helps to reduce size of the organ to about 70%. As a result, patients feel fuller in a faster and they can only consume a small amount of food.

Weight loss from gastric plication

This is a restrictive Bariatric procedure where stomach size is reduced greatly. This helps to limit the amount of food that patients can intake in every meal. At the same time absorption of nutrients remains same as well as access to digestive juices. Keeping these physiological processes normal helps to maintain digestive health. Intestine is not bypassed as in gastric bypass surgery. Usually obese patients consume a large volume of food, feel hungry and are unable to control their food portions. Undergoing such a restrictive surgery helps them to feel full by consuming small amounts of food and the feeling of satiety remains for many hours.

Who should undergo gastric plication surgery?

Those who have a body mass index of 30 and higher and are used to consuming large volume of food are good candidates for such a surgery. As long as one has no other chronic condition they can undergo such a surgery. Usually physicians propose certain diagnostic tests to the patient to assess the general and overall health condition.

For gastric plication surgery to be effective patients need to follow a diet regime that is given to them in the postoperative period. They are recommended to take small meals two to three times a day, which should be rich in nutrition. It is recommended that one check their body mass index, which is easily obtained through any BMI calculator. Estonia clinic website will help you check your body mass index to know which Bariatric restrictive surgery would be right for you.

Complications or side effects

Usually complication risks are low with this procedure. Patients who undergo this procedure often feel vomiting and nausea which last a week after they have undergone the surgery. These risks are standard with pediatric restrictive surgery. Other side effects are generally as found in any anesthesia linked surgery. In a few cases, stitches might separate that may happen in sutured areas and require revisional surgery.

Benefits of gastric plication

Those who undergo surgery can expect to lose 30 to 55% of exercise, body weight within a period of 2 years. Most obese patients suffer from associated conditions such a higher risk of heart disease, high blood pressure, diabetic complications and so forth. These conditions abate or reduce after one undergoes surgery. Many suffer from abnormal cholesterol levels and obstructive sleep apnea. These conditions also improve or go away after such a procedure is done. Since food intake is controlled, one can see visible improvement in their physical health. Obese patients can find their physical appearance to be normal and socially accepted.

Such people usually suffer from low self esteem and find it difficult to mix with others. After undergoing such a procedure they find their physical appearance improved and this helps them have more positive mental and emotional outlook. Gastric plication does not need the digestive system to be rearranged as in gastric bypass. There is no need for foreign objects to be inserted into the abdominal cavity such as gastric bypass or in gastric band surgery. Folds are made in the stomach cavity which is a reversible operational procedure. For such properties gastric plication is suggested by most physicians today over other Bariatric restrictive surgery.

Comparing gastric plication with other bariatric weight loss surgeries

Among the different laparoscopic surgeries offered for weight loss, gastric application is a new and minimally invasive procedure. It is reversible as the stomach pouch lining is reduced by folds and this can be returned to normal size and proportion if so required. Gastric sleeve leads to a portion of the stomach being removed, but that is not so in case of this surgery.

In case of gastric bypass the intestines are reconnected and re routing is involved, which also impacts the digestive juices and the release of hormones. These effects are not found in gastric plication since it simply reduces the volume of the stomach pouch without affecting the physiological functions of the digestive system. With gastric plication your stomach is made to have restricted volume so that the amount of food it can hold is limited. After undergoing the procedure one feels full with small amount of food intake that prevents one from consuming too much.

When it is compared to gastric band procedure, gastric plication does not involve risks of any foreign object inside you. Though the sutures might come off and there could be re-adjustments needed, in case of the gastric band, the lap band that is inserted needs to be checked and there is the risk of the band coming off or leaking into the stomach cavity.

If we compare it to the newer procedure, gastric balloon where silicone balloons are inserted in the stomach cavity for 6 months, gastric plication does not involve any foreign object being inserted in the body and is a longer term solution for weight loss.

Pros and cons of the procedure

There are several advantages and few limitations to consider with the gastric plication surgery.

Advantages are several such as

  • It is a laparoscopic technique that results in less scarring and faster recovery.
  • Hospital stay that is required is usually for a period of 24 to 48 hours.
  • Recovery time is usually a period of 7 or 10 days, after which one can get back to normal life activities.
  • No rerouting is required of the digestive system as in gastric bypass.
  • No foreign object is placed in the abdominal cavity such as gastric banding or gastric balloon.
  • Adjustments are usually not required as in lap band procedure, though sutures need to be monitored till they are healed and stay in place.
  • The procedure can be reversed unlike gastric bypass or sleeve gastrectomy.

Disadvantages are a few such as

  • It is a newer procedure as compared to sleeve gastrectomy, bypass or banding.
  • Its costs might not be covered by insurance companies.
  • Standard health risks exist as in any surgery where general anesthesia is administered.
  • Vomiting tendency and nausea symptoms are common.
If you approach our experienced Bariatric surgeons they will be able to put your mind at rest regarding any queries you might have about this procedure. Our clinic has a high success rate with all Bariatric weight loss surgeries.

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