GPS Update: Important new information

[borderguy 9]

I think Dr. Watkins felt he had an obligation to post his recent findings about GPS on this board and to his patients.

the problem it´s not "his recent findings", but his recent problems with the surgery he´s talking about, wich are not based on fact or investigation and in no way a real indicator on the stats of this surgery, just his opinion.

bg

[Oregondaisy 2,019]

I'd like to know the answer to this myself.

I have heard Dr. Aceves won't do plication but I have never heard them say that. You're saying you know him on a first name basis and can call him anytime and he is saying there is nothing wrong with plication?

If that is true, ask him why he is not doing that surgery ?

[TEXAS DIVA 10]

OK THIS IS SOME BULLSHID..TOTAL BULLSHID... THERE ARE PEOPLE ON THIS BOARD WITH LEGITIMATE LIFE THREATENING WEIGHT LOSS ISSUES THAT COME TO THIS BOARD FOR OPINIONS, IDEAS, INFORMATION AND TO MEET AND BOND WITH PEOPLE IN SIMILAR SITUATIONS. DO YOU HONESTLY THINK WHILE PEOPLE ARE MULLING OVER HOW TO SAVE THEIR OWN LIVES, LITERALLY, FIND THE MONEY, MEANS AND COURAGE TO DO SO, THRU ANY FORM OF WLS, THAT THEY REALLY NEED TO READ THIS KINDA BULLSHID?

I DONT KNOW DR. WATKINS AT ALL. THOUGH I OFTEN WONDERED HOW AS A SURGEON HE FINDS TIME TO POST ON A MESSAGE BOARD, I CAN STILL APPRECIATE THE FACT THAT IS FREELY SHARING WHAT HE CONSIDERS TO BE HIS BEST INFORMED OPINION. I NEVER THOUGHT OF HIS POSTS AS FREE ADVERTISING..I WAS JUST HAPPY FOR FREE MEDICAL OPINION. THE MAN IS A LICENSED MEDICAL DOCTOR THEREFORE, HE MUST HAVE A CERTAIN HIGH DEGREE OF INTELLIGENCE. FOR THAT ALONE I CAN APPRECIATE THE TIME HE TAKES TO POST ON THIS BOARD, THOUGH IT IS HIS OPINION. THANKS DR. WATKINS FOR SHARING YOUR OPINION.

I DONT KNOW BORDER GUY, BUT I WILL SAY THIS, YOUR INITIAL REPLY TO THIS POST WAS REFRESHING AND MUCH NEEDED. YOU GAVE AN OPINION THAT WELL BALANCED DR. WATKINS OPINION AND IT SHOWED TWO POINTS OF VIEW ON THIS SUBJECT. IM GLAD THAT YOU INTERJECTED BECAUSE AFTER READING DR. WATKINS POSTS, I WAS READY TO CALL OFF ANY KIND OF WLS. YOUR COMMENTS MADE ME REALIZE THAT TO "PLICATE OR NOT TO PLICATE" IS MY OWN PERSONAL CHOICE AND I HAVE TO MAKE MY OWN WELL INFORMED DECISION. THANKS A MILLION FOR YOUR RESPONSE.

MICHELLE, FROM WHAT I CAN SEE, YOU DONT POSSESS A MEDICAL LICENSE OR DEGREE, UNLESS I MISSED IT IN YOUR PROFILE OR IN YOUR AVATAR SPACE. IF YOU DO, LET ME BE THE FIRST TO APOLOGIZE. BUT WHERE THE PHUCC DO YOU GET OFF WITH ELEMENTARY NAME CALLING AT THE RIPE OLD AGE OF 48? WHAT QUALIFIES YOU TO CALL LICENSED MEDICAL DOCTORS AND PROFESSIONALS "BOTTOM FEEDERS" BECAUSE THEY CHOOSE TO PERFORM A CERTAIN TYPE OF SURGERY? AM I A "IN THE BOTTOM" BECAUSE I AM CONSIDERING PLICATION? I WOULD WELCOME THE OPPORTUNITY FOR YOU TO CALL ME "BOTTOM ANYTHING" TO MY FACE.

I MEAN REALLY, WHO ARE YOU? YOUR OUTWARD DISDAIN FOR "ALL THINGS PLICATION" HAS ME TO QUESTION WHO YOU REALLY ARE? DO YOU WORK FOR SOME COMPANY THAT HAS IT OUT FOR CERTAIN DOCTORS? ARE YOU PAID TO GET ON LINE AND BLAST PLICATION SURGEONS? DID YOU DIE FROM PLICATION SURGERY AND COME BACK IN THE FORM OF AN INTERNET COWARD TO BASH THE WORD PLICATION WHENEVER YOU HEAR OR READ IT? DID YOU HAVE A FRIEND OR LOVE ONE DIE AT THE HANDS OF A PLICATION SURGEON? REALLY , YOU GAVE YOUR OPINION, POSTED YOUR LINKS FOR WHAT YOU THOUGHT WAS VALIDITY FOR YOUR OPINION AND THAT SHOULD HAVE BEEN THAT.

YOU SEE MICHELLE, IT IS "INTERNET BULLIES" LIKE YOU THAT TAKE FROM THE POSITIVE-NESS OF FORUMS AND MESSAGE BOARDS. IF PLICATION IS NOT FOR YOU, THEN DONT HAVE IT..IN FACT, DONT COME TO THIS PART OF THE BOARD. APPARENTLY, YOU HAD YOUR WLS OF CHOICE, STICK WITH IT AND LEAVE THE REST OF US TO MAKE OUR OWN CHOICE. IM SORRY ,BUT I HAVE NEVER LIKED BULLIES AND "INTERNET GANGSTAS" AND YOU REALLY WERE OUT OF LINE TO CALL BORDER GUY A LIAR? REALLY WHO THE PHUCC ARE YOU TO CALL HIM ANYTHING?

NOW SWEETNESS, KNOW THIS: MY NERVES ARE BAD, I HAVE A LOT ON MY MIND AND I COULD JUSTIFY ANYTHING RIGHT ABOUT NOW. SO DONT EVEN THINK YOU ARE GONNA COME AT ME WITH YOUR INTERNET "FAT GIRL TOUGH ACT" BECAUSE IM THE TYPE OF PERSON WHO WILL GIVE YOU MY REAL NAME, REAL ADDRESS AND REAL PHONE NUMBER SO WE CAN MEET IN PERSON AND "DISCUSS" THIS IF NEED BE. SO YOU CAN MISS ME WITH ANY TYPE OF NAME CALLING REBUTTAL BECAUSE I SWEAR I WILL MAKE IT MY BUSINESS TO ENSURE THAT YOU GET THE "OPPORTUNITY" TO ATTEMPT TO SPEAK YOUR PEACE IN PERSON WITH ME.

SO UNTIL YOU CAN PROVIDE THIS BOARD WITH YOUR MEDICAL CERTIFICATION, JUST LIKE DR. WATKINS, UNTIL YOU CAN PROVIDE PROOF THAT YOU ARE THE AUTHORITY ON WHAT CONSTITUTES BEING A "BOTTOM FEEDER" OR UNTIL YOU CAN SHOW PROOF THAT YOU ARE QUALIFIED TO CALL BORDER GUY OR ANYONE ELSE A LIAR, THEN YOU NEED TO KEEP IT MOVING!... NOW, YOU DEAL WITH THAT...

[TEXAS DIVA 10]

I JUST SPOKE WITH MY FACILITATOR WHO SAYS MICHELLE IS A TROLL ON SERVERAL OBESITY BOARDS.. GTFOH WITH THAT NON SENSE..CANT BELIEVE I LET MY BLOOD BOIL OVER "ITS" POST.. I APOLOGIZE TO ANYONE OFFENDED BY MY POST.. I JUST CANT STAND BULLIES, LIARS AND TROLLS! WEIGHT LOSS IS A SERIOUS MATTER. LIKE THE OTHER POSTER SAID, GPS PATIENTS ARE SELF PAY. I DONT HAVE MONEY TO WASTE AND I TAKE MY LIFE SERIOUSLY..SO TO TROLL ON THIS SUBJECT IS LIKE PLAYING WITH MY MONEY AND MY HEALTH..NOT COOL...AT ALL!

[TEXAS DIVA 10]

PS: SORRY FOR THE TYPOS AND SUCH..I WAS JUST A LIL HEATED WHILE TYPING.

[Lmom1980 29]

if you read my post you would have known she (michelle/midwesterngirl/wasabubblebutt) is a troll. I have known that since researching plication. I got some info on her from Ortiz office that was comical.

Best of Luck to everyone on your WLS choices. I know I am only one week out, but so far I like my plicated stomach.

[Lmom1980 29]

the problem it´s not "his recent findings", but his recent problems with the surgery he´s talking about, wich are not based on fact or investigation and in no way a real indicator on the stats of this surgery, just his opinion.

bg

He did have a recent problem with one of his patients. He was honest about that. He shared his opion. Isn't that what forums are for? Again-He had nothing to gain by his post.

[Alex Brecher 10,484]

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[Alex Brecher 10,484]

I've reopened this thread. I'd greatly appreciate if all members can please follow our posted rules and guidelines.

[melanieleigh 1]

I would really like to thank BorderGuy for giving some really very good information, I checked out those links and went through a lot of that info, and it really put my mind at rest. I guess it would have been nice if Dr. Watkins would have offered a little more "proof" as in studies along with his personal apprehensions about preforming the plication surgery. All that aside, I was just grateful to have SOMEONE help me with my freak out over the information that just felt "dumped" on me. And I don't know that Michelle person, but, WOW. Any whoo, thanks again borderguy!!

Melanieleigh

GPS surgery Jan. 10 2011

Dr. Abril and Dr. Ham

Mexicali Mexico

[AutumnLily 77]

http://www.laparosco...ONS_ABOUT_TVGP/ and go to the MMESA Dr Talebpour morbid obesity gastric plication report of 500 cases

I looked at these and they are just a bunch of power points. Where are they published?

heres another study of 135 patients. check the stats

.

http://www.ncbi.nlm....pubmed/19081482

This previous study was for sleeve gastrectomy and not plication.

heres some more info:

LAPAROSCOPIC TOTAL GASTRIC PLICATION. 2- YEAR RESULTS AND COMPARISON TO SLEEVE GASTRECTOMY.

George Skrekas MD, ISS, EAES, General surgeon, Specialist in advanced laparoscopy & bariatric surgery

PURPOSE: The presentation of our results with total gastric plication (imbrication) in a 135 patients series and comparison to a randomized series of 80 patients who underwent sleeve gastrectomy in the same period.

METHODS: The study was designed as prospective - double. The GROUP I is consisted from 135 patients (104 women and 31 men) who voluntarily underwent gastric plication in a 2-year period (2008-2010). The GROUP II includes 80 randomly selected patients (50 women and 30 men) who underwent sleeve gastrectomy in the same period. The two groups were comparable as to age (36 vs 35.4 years) but differed as to the initial BMI (BMIGroupI = 39.5 vs BMIGroupII= 46.5Kg/m2).

RESULTS: 12 patients of GROUP I (8.8%) presented post operative complications of which 4 cases were treated surgically ( 1 case of gastric prolapse, 1 case of Portal vein thrombosis with partial jejunum necrosis and 2 cases of late gastric occlusion due to the formation of intragastric seroma). In the last 2 cases we did reversion of the plication 3 months after the primary operation. The mean follow-up was 20.4 months (13-32). In the group of gastric plication (GROUP I) the mean (%) excess weight loss (EWL) was 65.3%. Weight loss was significantly greater in patients with initial BMI < 45 (69.9% vs 55.5%, p = 0.006). 29 patients of GROUP I (21.4%) had poor weight loss (EWL <50%), while in 8 of them (5.9%) the surgery was deemed as failure (EWL <30%). Patients with an initial BMI> 45 were twice as likely to fail loosing adequate weight than those who had BMI <45 (36% vs 18.1%). The patients who underwent sleeve gastrectomy (GROUP II) achieved significantly greater weight loss (EWL = 81.7% vs 65.3%, p <0.001) while they had 9 times less probability of insufficient weight loss (2.5 vs 21.4%). The overall weight loss was considered satisfactory in 78.6% of the patients who underwent gastric plication and in 97.5% of those who underwent sleeve.

CONCLUSION: The total gastric plication surgery presents some good features: adequate gastric restriction without implants or gastrectomy, simplicity, reversibility and acceptable risk of complications. In the short-term, the total gastric plication is able to provide an acceptable weight loss in about 80% of patients, but is considerably less effective when compared to sleeve gastrectomy. According to our experience, the total gastric plication might be offered as an option for the treatment of "less heavy" bariatric cases with BMI <45 because beyond this limit, the probability of insufficient weight loss or failure is high (36%).

I have searched for this study that you posted and I can not find it. Where was it published?

SO TO ANYBODY CONSIDERING WEIGHT LOSS SURGERY, PLEASE DO YOUR HOMEWORK,

I agree do your homework and make sure you fully understand all the possible risks/complications associated with ANY surgery.

[kpodle 3]

I am having a consult with my surgeon next week. He is conducting a clinical trial for 'banded plication' - basically a lap band plus a plication. I was originally interested in getting the sleeve but have since been seriously considering the banded plication. I already faxed him Dr. Watkin's 2 posts and I will be very interested to get my surgeon's feedback. Hopefully this thread will remain ulocked, and if so, I'll pass along my surgeon's comments.

[borderguy 9]

The study is one of thhe presentations, the one that says:

MMESA Dr Talebpour morbid obesity gastric plication report of 500 cases

take care...

Omar

[lilmissbigmouth 4]

I am having a consult with my surgeon next week. He is conducting a clinical trial for 'banded plication' - basically a lap band plus a plication. I was originally interested in getting the sleeve but have since been seriously considering the banded plication. I already faxed him Dr. Watkin's 2 posts and I will be very interested to get my surgeon's feedback. Hopefully this thread will remain ulocked, and if so, I'll pass along my surgeon's comments.

I got banded plication on 1/10/11. I am so glad I have finally found someone who has heard of it. I feel like the redheaded step-child of WLS. I wanted the sleeve but my insurance did not cover it. hey did however cover the band so we went with banded plication. It's a learning process. I've lost 30 lbs since surgery. It seems to be coming off faster now that I have been able to start exercising the past couple of weeks. I am in the mid 400s and this walking thing is new to me. lol

[genepha 47]

I have a banded plication as well. I had the band in 2001 and developed some complications a couple of years ago so I had my band replaced and the plication done at the same time. I'm glad to see others here who have the same procedure. By the way, I'm planning on keeping my band completely empty due to reflux. Good luck!