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Plication

Hello I am new here. I am getting my band in two weeks I hope. I am getting a hernia repaired so it will be cheaper. I have not talked to my dr yet. What is plication? I just came across that here.

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This is from my doc's website-

The Banded Plication is a new investigational procedure that is a combination of the Gastric Banding and the Gastric Plication. It involves reducing the stomach volume by imbricating and stitching (plicating) the outer curvature part of the stomach reducing its size. There is no stapling or rerouting the intestinal tract with this procedure, like with the Gastric Bypass and Sleeve Gastrectomy.

A study suggests that the gastric placation will have the weight loss results of the gastric bypass with complication rate anticipated to be similar to the gastric banding, being able to combine the best of both worlds!

Advantages

  • No rerouting of intestinal track
  • Not a malabsorptive procedure
  • No cutting of the stomach
  • No adjustments needed
  • Significant long and short term weight loss
  • Possibly Reversible however long term data to prove

Found this online. Hope it helps!

Gastric_Plication.jpg

Total Gastric Vertical Plication (TGVP or Plication) is a fairly new restrictive, laparoscopic technique that reduces the size of the stomach and limits food intake. The Plication involves sewing one or more large folds in your stomach, in which the stomach volume is reduced about 70%, making your stomach the shape of a tube. The sutures used are non-absorptive and there is no cutting, stapling, removal of the stomach or intestines, or uses any foreign implants. This creates less risk for complications and also allows for full absorption of vital nutrients (no malabsorption created).

Although this is a newer procedure, the current statistics show a loss for most patients of approximately 62-67% of excess body weight. You may hear other surgeons explain that this procedure is reversible, but it has been shown that when the sutures are removed, scar tissue may have formed around the folds of the stomach, preventing it from returning to its original shape (think of it as the sides of a balloon sticking together). Due to this fact, this procedure should be considered as a permanent weight loss surgery.

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