Gastric Plication

What Is It And Who Is It For?

During this procedure the volume of the stomach is reduced as the greater curvature is invaginated using multiple rows of non-absorbable sutures or special staples. The effect is ensured due to the volume reduction but also to the lowered capacity of the stomach to distend and potentially the fact that the procedure restricts the area where gastrointestinal hormones responsible for the sensation of hunger are produced.

One of its main advantages is that there is no implant left in the body. Also, when compared to a very similar and widely performed operation, ‘sleeve gastrectomy’, it is more convenient because it does not remove a large part of a completely healthy organ – the stomach, the whole of which is preserved. Consequently, this is another potential advantage of this procedure – its reversibility.

Greater curvature plication is designed for patients with a BMI (body mass index) over 40 or for those with a BMI between 35 and 40 who also suffer from additional problems such as hypertension or diabetes. Other obese patients who have repeatedly failed to lose weight with the help of conservative treatment can also opt for it.

(from BMI 35)

WHAT’S your BMI? Weight divided by height in meters squared (ex. 130 kg/1,75x1,75 = 42 BMI)

How Is It Done?

The operation is done laparoscopically. First, a special laparoscopic camera is introduced into the abdomen through small incision near the belly button through abdominal wall and then the surgeon performs the surgery through several additional short incisions in the abdominal wall using special long and thin instruments.

Surgery

The operation is performed under general anaesthetic and takes approximately two hours.

After Surgery

The procedure requires a three-day stay at the clinic. Immediately after the operation, the abdomen may be swollen and sensitive; the patient may suffer from nausea or vomiting. Medication can ease the discomfort. A vitally important partner to the operation is that the client changes their diet and overall lifestyle. Results are visible soon after the operation; most patients after greater curvature plication surgery lose weight significantly in the first year and continue doing so for a minimum period of two and a half years. Within the two first years, considerable improvements can also be expected in type 2 diabetes, hypertension, high cholesterol level, apnoea and other obesity related symptoms.

It is very important to realise that the ideal results can only be attained if the client follows the indications concerning lifestyle, diet and exercise.

Extra

Aesthetic surgery might be needed after major weight loss – especially in the arms, lower abdomen and legs. The excess skin is loose and forms sagging folds which can be removed during plastic surgery; the operation will be tailored specifically for you, following a detailed consultation with a plastic surgeon. We offer both tummy tucks and body contouring lifts.

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