GPS Questions from the Severly Morbidly Obese (670+ pounds)

[Patrick Curl 424]

Hello,

I'm wondering if any people with over 150 lbs to lose has had any experience with the Plication surgery.

I'm currently 5'11 and weigh 670 pounds. I'm desperate for a weight loss solution and am

hoping to do the Plication via Dr Corvala.< /p>

I want to know what kind of weight loss someone my size can expect in the first year, whether the surgery would still be effective

on someone my size. And any other info like that.

I would greatly appreciate any success stories, and if any doctors on this board have any case studies or advice for someone my size.

Regards

Patrick in Ohio

[genepha 47]

Hi Patrick,

I'm reposting some info from AmyN when someone asked about higher BMI patients.

Dr. Watkins from cincyweightloss posts often so maybe he can answer your question.

I remember reading plication is best for BMIs between 30-60.

You can research on YouTube as well for gastric plication, Dr. Corvala, Dr. Cottam and Dr. Ortiz.

You can contact the doctors and ask about acceptable BMI..

http://www.cincyweig...-procedure.html

Weight Loss Surgeons | Salt Lake City, Utah

http://www.angeleshe...ez-corvala.aspx

Please let us know what you find out!

Good luck~

genepha

[Cknorte 7]

Hi Patrick,

I had over 150lbs to lose....I am down 52. I can't eat more than 3/4-1cup of food. I usually get in around 900-1000 calories a day. So you can totally lose weight and a lot of it......just think about it....

Also, with Plication...there is a risk that the sleeve could stretch if you constantly overeat (it's hard to do, because it is super uncomfortable to overeat), but they can go back in and re-stitch and re-tighten.

Corvala is an awesome Dr. let us know what you find out....good luck!

[mp8btpc 32]

Patrick, welcome to the forum! Congrats on starting your research. Keep us posted on your journey I just wanted to give you a quick hello shout out.

[DrWatkins 13]

Hello,

I'm wondering if any people with over 150 lbs to lose has had any experience with the Plication surgery.

I'm currently 5'11 and weigh 670 pounds. I'm desperate for a weight loss solution and am

hoping to do the Plication via Dr Corvala.

I want to know what kind of weight loss someone my size can expect in the first year, whether the surgery would still be effective

on someone my size. And any other info like that.

I would greatly appreciate any success stories, and if any doctors on this board have any case studies or advice for someone my size.

Regards

Patrick in Ohio

We have done weight loss surgery on many high BMI patients and even published our results on high BMI band patients. We've had several patients lose over 250 pounds with a band. GPS (plication) is new so we don't have long-term data. GPS has many similarities to other weight loss operations and what we know from other operations is that higher BMI patients tend to lose more pounds, less percentage basis excess weight and take longer to reach goal. A common thing that happens is that higher BMI patients take longer to reach goal and sometimes their operation is less effective over that much time but it really comes down to the individual in that some patients do phenomenal and others don't lose that much weight. It's best to think of weight loss operations as a tool for weight loss and my experience is that GPS is just as good of a tool as others and it is much less invasive with no cutting or stapling of the intestines involved. The other thing I like about the GPS is that it would be easy to revise if necessary. Revisions of other operations are a much bigger deal. We haven't had to revise any GPS yet for dilation, but if that occurred in the future it would be simple to place additional sutures to reduce the size again. One challenge might be that most hospitals don't allow this new procedure and many surgery centers have upper BMI limits so sometimes we have to put patients on liquid Protein diets until they fall under the BMI limit for Center of Excellence surgery centers.

Brad Watkins MD