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Gastric Plication

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Gastric Plication

Laparoscopic gastric plication is a newer minimally invasive weight-loss surgery technique that reduces the size of the stomach capacity to approximately three ounces.
The procedure does not involve the use of an implanted device (such as gastric banding). Also, unlike the gastric sleeve procedure, gastric plication may be reversible because a portion of the stomach is not removed. In addition, unlike gastric bypass, gastric plication does not involve rerouting and reconnecting the intestines.

It is a restrictive weight-loss surgery, meaning that it restricts the amount of food the stomach can hold. You will feel full sooner so you won’t want to eat as much.

Description:

Gastric plication as a laparoscopic procedure. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.
Laparoscopic gastric plication, involves sewing one or more large folds in your stomach. During the laparoscopic gastric plication the stomach volume is reduced about 70% which makes the stomach able to hold less and may help you eat less. There is no cutting, stapling, or removal of the stomach or intestines during the Gastric Plication. The gastric plication may potentially be reversed or converted to another procedure if needed. The gastric plication procedure is minimally invasive and takes approximately one to two hours to complete. Most patients stay in the hospital for 1-2 days after the procedure.
Advantages:
  • No rerouting of intestines as with gastric bypass
  • Does not involve implanting a banding device around a portion of the stomach
  • No adjustments are needed as with gastric banding
  • Procedure may be reversible, unlike sleeve gastrectomy or gastric bypass
Disadvantages:
  • Gastric plication is a newer procedure and hasn’t been tested as long as sleeve gastrectomy, gastric banding or gastric bypass
Are You a Candidate?

Doctors often use the following body mass index (BMI) measures to identify patients who may be most likely to benefit from weight-loss surgery. A normal BMI is between 18.5 and 25. This procedure may be recommended for you if you have:

  • A (BMI) of 40 or more. This usually means that men are 100 pounds overweight and women are 80 pounds over their ideal weight.
  • A BMI of 35 or more and a serious medical condition that might improve with weight loss. Some of these conditions are sleep apnea, type 2 diabetes, high blood pressure, and heart disease.

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