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Gastric Imbrications: the latest weight loss surgical option
 A new gastric sleeve plication or gastric imbrications
weight loss surgery - a
reversible procedure that is differentiated from existing bariatric procedures
in that it does not require device implantation nor the removal of stomach
tissue.
The Gastric Imbrications is a laparoscopic (keyhole) procedure, which is very
simple and yet effective. It is less invasive and shorter than the Sleeve and
Bypass surgeries, with
equally good results. It is a reversible procedure which involves only 3 tiny
cuts on the abdomen and
the stomach is folded over itself and stitched. The tiny cuts are so small that
they don’t require any stitches and the patient walks home the next morning. -
The procedure results in reducing the capacity of the stomach to 100-150 ml and
as a result the patient gets a feeling satiety with a small meal.
The size of the stomach is reduced in this
method. Stomach capacity is reduced and the patient consumes less quantity
of food and loses weight.
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Benefits
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Like other bariatric operations, the procedure promotes weight loss by
reducing stomach capacity to cause early satiety and limit
calorie intake. Based on
preliminary results, gastric plication surgery for severe obesity appears to
be a safe and effective weight
loss procedure. Patients have achieved excess weight loss of 60-90% at the
end of one year.
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90-98% patients of
Diabetes,
Hypertension, hyperlipidemia,
Sleep apnoea, knee
joint pain got much better quality of life.
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 Unlike other bariatric procedures, gastric plication does not involve
stapling, cutting or removing stomach tissue or require a medical implant.
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Performed laparoscopically, thus minimum invasion.
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Does not require a medical implant (like gastric banding)
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Does not involve cutting away and removing a portion of the stomach (like
sleeve gastrectomy)
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Procedure is easily reversed
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Offers minimal risk and quick recovery
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Currently the lowest cost weight loss procedure available.
Body Mass Index method can be
used to know whether a person is obese or not. BMI should be between 18 and
23.5. If BMI is more than 32, then the person is definitely obese. Obesity is
the basic cause for many diseases. Diabetes and blood pressure are caused by
obesity. Cholesterol is also increased and thereby heart diseases also
increase. Sleeplessness also can be observed in obese people.
Arthritis in women is also because of obesity. 10% of
cancers are caused by
obesity. So it is important to control obesity to prevent many diseases. Blood
pressure can be controlled and the diabetes and uric acid levels also can be
decreased. Fatty liver and joint pains can be prevented. As the
cholesterol levels decrease the chances of getting heart diseases also
decreases.
Based on preliminary results, gastric plication surgery for severe obesity
appears to be a safe and effective weight loss procedure. The only downside at
this time appears to be the lack of long-term data. This issue is the focus of
several ongoing clinical trials. Interested patients may want to see if they
qualify for one of the studies examining this promising new procedure.
Note: Gastric Imbrications, Total Vertical Sleeve Plication, and Laparoscopic
Greater Curvature Plication, is being performed by only a few doctors in the
United States at this time, including: Dr. Brad Watkins at Cincinnati Weight
Loss Center, Daniel Cottam, MD at Surgical Weight Loss Centre of Utah, and Sunil
Sharma, MD at the University of Florida.
- WF Team
Dated 12 December 2010
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