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Gastric plication is a relatively new weight-loss surgery that has gained popularity due to its minimally invasive nature and effectiveness. As obesity rates continue to rise globally, more individuals are seeking surgical interventions to manage their weight when other methods, such as diet and exercise, have not been successful. Gastric plication offers a promising alternative to traditional bariatric surgeries like gastric bypass or sleeve gastrectomy, particularly for those looking for a procedure with fewer complications and a quicker recovery time.

What is Gastric Plication?

Gastric plication, also known as laparoscopic greater curvature plication, involves folding the stomach in on itself to reduce its volume by approximately 70%. Unlike other bariatric surgeries, this procedure does not involve cutting, stapling, or removing any part of the stomach. Instead, the surgeon creates folds in the stomach lining and secures them with sutures, effectively reducing the stomach's capacity and, consequently, the amount of food that can be consumed.

This reduction in stomach volume leads to a feeling of fullness after eating smaller portions, which can significantly contribute to weight loss. Gastric plication is considered a reversible procedure, although reversal is rarely performed.

How Does Gastric Plication Work?

The primary mechanism of gastric plication is restriction. By reducing the stomach's size, the patient experiences early satiety (feeling full sooner), which helps limit calorie intake. The smaller stomach pouch holds less food, and the reduced capacity means that patients are more likely to adhere to a low-calorie diet.

Additionally, because the procedure does not involve removing any part of the stomach or rerouting the intestines, patients are less likely to suffer from nutritional deficiencies, a common issue with more invasive weight-loss surgeries.

Benefits of Gastric Plication

Gastric plication offers several benefits, making it an attractive option for many patients:

  1. Minimally Invasive: As a laparoscopic procedure, gastric plication involves small incisions, which leads to less post-operative pain, a shorter hospital stay, and a quicker recovery compared to open surgeries.
  2. No Stomach Resection: Since no part of the stomach is removed, the procedure is less drastic than other bariatric surgeries. This also reduces the risk of complications such as leaks from staple lines, which can occur in procedures like gastric bypass.
  3. Reversibility: While the procedure is designed to be permanent, it can be reversed if necessary, which provides an additional safety net for patients concerned about long-term changes to their digestive system.
  4. Lower Cost: Gastric plication generally costs less than other bariatric surgeries, making it a more accessible option for many patients.
  5. Reduced Risk of Nutritional Deficiencies: Unlike procedures that involve bypassing parts of the digestive system, gastric plication does not affect nutrient absorption, minimizing the risk of deficiencies.

Risks and Considerations

While gastric plication is generally considered safe, it is not without risks. Potential complications include:

  1. Nausea and Vomiting: These are common in the initial weeks following the surgery as the body adjusts to the new stomach size.
  2. Gastric Leaks: Although less common than in other surgeries, there is still a risk of leaks from the suture lines.
  3. Weight Regain: As with any weight-loss surgery, there is a risk of regaining weight if the patient does not adhere to a healthy diet and lifestyle changes post-surgery.
  4. Plication Reversal: While the procedure is reversible, undergoing another surgery carries its own risks and potential complications.
  5. Limited Long-Term Data: Gastric plication is a newer procedure compared to other bariatric surgeries, so long-term data on its effectiveness and safety is still being collected.

Who is a Candidate for Gastric Plication?

Gastric plication is typically recommended for individuals with a body mass index (BMI) of 30 or higher who have been unable to lose weight through diet, exercise, or medication. It is also considered for patients who are looking for a less invasive option than traditional bariatric surgery. However, not everyone is a candidate for gastric plication. Patients must undergo a thorough evaluation, including medical history, physical examination, and possibly psychological assessment, to determine if the procedure is appropriate for them.

What to Expect During the Procedure

Gastric plication is performed under general anesthesia and typically takes about 1 to 2 hours to complete. The surgeon makes small incisions in the abdomen through which a laparoscope (a small camera) and surgical instruments are inserted. The surgeon then folds the stomach in on itself and secures the folds with sutures to create a smaller, tube-like stomach.

Most patients stay in the hospital for 1 to 2 days following the surgery and can return to normal activities within 1 to 2 weeks. However, patients are advised to follow a liquid diet for the first few weeks post-surgery, gradually reintroducing solid foods as their stomach heals.

Recovery and Aftercare

The recovery period for gastric plication is relatively short compared to more invasive surgeries. Most patients can return to work and normal activities within a couple of weeks. However, long-term success depends on the patient's commitment to maintaining a healthy diet and lifestyle.

Patients are typically advised to eat small, frequent meals and avoid high-calorie, sugary, and fatty foods. Regular follow-up appointments with a healthcare provider are crucial to monitor progress and address any concerns.

Global Providers of Gastric Plication

When considering gastric plication, choosing the right provider is essential for a successful outcome. The best providers are those with extensive experience in bariatric surgery, state-of-the-art facilities, and a multidisciplinary team approach that includes surgeons, dietitians, psychologists, and other specialists.

Patients should look for providers who offer comprehensive pre- and post-operative care, including nutritional counseling and psychological support, to ensure the best possible outcome. Additionally, it is important to choose a provider that follows the highest standards of safety and quality, with a track record of successful outcomes.

Best Provider in the World For Gastric Plication is:

Obesity Control Center

Gastric plication is an innovative and less invasive option for individuals struggling with obesity who have not had success with traditional weight-loss methods. While the procedure offers numerous benefits, it is important for patients to understand the risks and make an informed decision when choosing a provider. By selecting a reputable provider with experience in gastric plication, patients can increase their chances of achieving long-term weight loss and improved health.

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