What is Gastric Plication?
Gastric plication (stomach folding) may be the safest and most effective option in bariatric surgery to surgically remove those masses of extra fat around your midsection. Technically known as laparoscopic greater curvature plication or gastric imbrications, it is a restrictive bariatric surgical technique in which a bariatric surgeon folds the stomach into a smaller size with stitches. The surgery reduces the stomach volume by as much as 80%.
In this surgery, the surgeon makes five or six tiny incisions in the abdomen laparoscopically and subsequently inserts a laparoscope (a flexible fiber optic medical instrument) and tiny instruments through these small cuts to fold the stomach in on itself. The procedure involves sewing one or more large folds in the stomach and holding the fold in place with sutures.
How is Gastric Plication Surgery Performed?
Weight loss surgery has seen many advances over the years, with new procedures being developed to give patients more options for their unique medical situations. Gastric plication is one of the relatively new weight loss surgeries. This is a laparoscopic procedure which means a laparoscope video camera and long instruments are placed through small incisions in the abdomen.
The weight loss surgeon uses a new device called the EndoFlip, which uses a balloon probe that inflates to measure how far hollow organs like your stomach are able to expand. The surgeon then sews one or more folds in the patient’s stomach. The laparoscopic gastric plication procedure reduces the stomach volume, making the patient feel full quicker and thus eat less.
While weight loss occurs logically as a result of a smaller stomach, it’s also beneficial that there is no reduction in nutrient absorption, something other procedures cannot claim. A person will often experience a reduction in appetite as well.
A gastric plication procedure can be reversed or converted to another weight loss procedure if necessary.
Gastric Plication Risks
If you have gastric plication performed, you are undergoing a major surgical procedure. Thus, there are inherent health risks to consider. As with any laparoscopic procedure, a patient may experience bleeding, infection, leaks in the suture line or organ injuries. The good news is that major complications are very rare, occurring in less than one percent of patients.
Not everyone who wants to lose weight can have gastric sleeve plication performed. At the moment, the surgery is only an option if you have a Body Mass Index (BMI) over 27 with at least one significant obesity-related medical condition.
Weight Loss Agents gastric sleeve has several benefits and unique advantages over other weight loss surgeries. One benefit is that it is minimally invasive and only takes an hour or two to finish. Most patients will be in the hospital for just one or two days.
- There is no stapling or banding with gastric plication. There is also no problem with malabsorption, the difficulty of absorbing nutrients from food. It is also the most affordable weight loss surgery available.
- One thing that weight loss surgery patients must be aware of is that weight loss is a slow process. This is important, because that’s the healthiest approach. You can expect to lose between 40 and 70 percent of your weight loss goal by the end of the first year.
- There are also the oft-overlooked benefits of saving money long-term and reversing diseases, such as diabetes, hypertension, high cholesterol and sleep issues. Money is saved because the patient often no longer needs medications to deal with these health problems.
- Often performed laparoscopically, it requires shorter hospital stay and smaller surgical cuts, thus offers faster recovery and lesser pain.
- The surgery reduced chances of leaks or bleeding at the staple line.
- It is a completely reversible procedure. Sutures used to sew the stomach can be removed to restore the normal anatomy and convert the patient to another weight-loss procedure if necessary.
- The surgery reduces stomach volume to limit eating, yet it keeps the stomach’s nutrition absorbing capacity intact. The procedure does not cause food intolerance, and a patient can enjoy all kinds of foods after the surgery, albeit in small quantities.
- Gastric plication eliminates the need for stomach removal, bypass of the intestinal tract or implantation of any foreign device such as gastric band. It does not involve removal of gastrointestinal tissue.
- The surgery allows a patient to lose between 40% -70% of their excess weight in the first year after the operation.
- This weight reduction surgery may resolve several weight-related co-morbidities, including hypertension and diabetes.
- This less invasive surgical procedure takes approximately one to two hours to complete.
Although estimate gastric balloon cost is considered safe and effective in producing substantial weigh loss in morbidly obese patients, it is relatively new procedure and almost no data is available to prove the sustainability of this procedure. Therefore, the prospective patients must be closely evaluated to ensure suitability for this form of weight loss surgery.