- 5 reasons why you should have gastric plication done
- 1. Gastric plication is a simple procedure
- 2. Gastric plication is a good solution for people with BMI above 35
- 3. A short time of recovery after the procedure
- 4. Gastric plication carries a low risk and complication
- 5. Our patients advisors will help you to organise your gastric plication in Poland
5 reasons why you should have gastric plication done
1. Gastric plication is a simple procedure
Laparoscopic gastric plication surgery known also as laparoscopic greater curvature plication(LGCP), gastric imbrication or stomach folding, is a type of bariatric surgery from the group of restrictive procedures. Restrictive procedures are shrinking the size of the stomach surgically or take up space inside the stomach (gastric balloon), making people feel more full while they consume a smaller amount of food than they used to. Gastric plication shrinks the size of the stomach into a smaller tube-like shape by a special folding and stitching technique, so the patient’s food income is reduced significantly, as the feeling of fullness after the meal is achieved quickly. After the procedure, the size of the stomach is reduced by about 70 to 75%.
Procedure time varies from 40 minutes and 2 hours to complete. The gastric plication procedure is performed laparoscopically, so to perform the procedure there are only a few small incision made in the lower abdomen to pass the tools. Via five or six tiny incisions a video camera (laparoscope) and long, thin instruments are inserted into the stomach to perform the procedure.
Gastric plication for weight loss eliminates post-op complications associated with adjustable gastric bands – already thought of as obsolete procedure – and vertical sleeve gastrectomy. This procedure is considered safer by creating restriction without the use of implants and without cutting and staples.
2. Gastric plication is a good solution for people with BMI above 35
If your body mass index (BMI) is bigger than 35 and you have one or more obesity-related conditions such as diabetes, sleep apnea or high blood pressure, you should consider gastric plication or another bariatric surgery. If your BMI is 40 or more, even without the presence of obesity-related diseases, you are also a good candidate for bariatric surgery.
The best patients for the gastric plication would be individuals who have a history of eating large portions of food. If you are more of a person who loves snacking or grazing on small quantities of food, the plication is not a suitable solution for you. The most successful patients will be the ones who after the procedure will adhere to the diet plan and will choose a healthy diet alongside with an increase in physical activity. To ensure that the weight loss is sustainable and to exclude the possibility of weight re-gain, one must follow the dietary guidelines.
3. A short time of recovery after the procedure
The recovery time is relatively short and it starts almost immediately after your surgery. Already on the second day after the procedure, you gradually begin to get used to the new way of eating. For the first two weeks, you will have a liquid diet including most likely at first water, milk, fruit juice and sherbet. Then, for the next two weeks you can include thicker liquids such as soup with some vegetables, and eventually, you will start to eat yoghurts and fruits. After those first four weeks, you will be able to eat all foods in small, restricted amounts, which in general is four spoonfuls of food per meal. Majority of surgeons recommend nutritionally dense foods and avoiding carbohydrates and fat.
The greatest advantage of gastric plication is that this method does not cause a decrease in absorption of nutrients or bypass your intestines. Probably you will still need to take vitamins or minerals after the surgery, as your food intake will not be what it used to be, and due to that fact, a shortfall of important nutrients may be caused.
Within one month after the procedure, the patients are usually able to eat all foods in small amounts, i.e. four spoonfuls per meal. Depending on the patient’s’ weight before the operation, patients can expect to lose between 30% to 55% of their excess body weight. However, remember that it is a process and the effects will occur within the first two years after the surgery. What is more, diabetes, high blood pressure, obstructive sleep apnea and abnormal cholesterol levels are improved significantly amongst more than 75% of patients who undergo this procedure. Although long-term studies are not yet available as the procedure is quite new, the results in improvement in the above mentioned medical conditions in the first year after surgery are quite impressive.
Gastric plication is also low-maintenance compared to other bariatric surgeries. You will have to watch what you eat and how much you eat, but unlike gastric bands, there are no fills required. Moreover, the procedure has no malabsorptive effects and the risk of nutritional deficiencies may not be as great as with other types of bariatric procedures, however, you will probably have to supplement vitamins and minerals as the food intake will be smaller. Gastric plication does not involve rearranging your digestive system permanently like gastric bypass does or implanting a band around the stomach, which usually causes a lot of complications. In addition, this particular surgery can be reversible because a portion of the stomach is not removed, which is impossible in the case of gastric sleeve or bypass.
4. Gastric plication carries a low risk and complication
Gastric plication carries a relatively low risk of complications after the surgery. Short-term complication rates range from 1% to 9%, and since now there are no deaths reported as a result of the surgery. Also, major complication rates appear to be extremely low at a less than 1%.
Low risk of complications associated with the stomach folding makes it a very safe procedure. The most significant side effects reported so far include nausea and vomiting, which usually last about a week after the surgery and may be controlled with medicines. Other risks that may occur are the standard ones, related to any type of surgery and being under general anaesthesia, as well as separation of stitched areas and leaks from sutured areas, which may require an additional surgery.
5. Our patients advisors will help you to organise your gastric plication in Poland
Many patients consider gastric plication abroad, as the money is as important as the surgeon’s experience. Poland seems to be a great place for people looking to have affordable gastric plication done, as surgeons in here are experienced and we work with great clinics located in big Polish cities. Thinking about having your procedure done, you should take into account having your gastric plication in Poland and will be delighted to organise the procedure for you.