Introduction

Gastric plication, also known as laparoscopic sleeve plication or gastric imbrication, is a minimally invasive weight loss procedure that helps individuals achieve significant and sustainable weight loss. This article will provide a comprehensive understanding of how Gastric Plication Dubai works, its benefits, risks, and what to expect during the procedure and recovery.

What is Gastric Plication?

Gastric plication is a bariatric surgery procedure that involves reducing the size of the stomach using laparoscopic techniques. Unlike other weight loss surgeries, such as gastric bypass or gastric sleeve, gastric plication does not involve the removal of any part of the stomach or rerouting of the digestive tract. Instead, it focuses on folding and stitching the stomach to create a smaller, banana-shaped pouch.

How Does Gastric Plication Work?

Gastric plication works by reducing the size of the stomach and restricting the amount of food it can hold. During the procedure, the surgeon makes small incisions in the abdomen and inserts a laparoscope, a thin tube with a camera and surgical tools. The surgeon then folds the stomach inward, creating pleats, and stitches it in place, effectively reducing its capacity by approximately 70-80%.

Benefits of Gastric Plication

  • Effective Weight Loss: Gastric plication helps individuals achieve significant weight loss by restricting the amount of food that can be consumed.

  • Minimal Alteration to Digestive Tract: Unlike other weight loss procedures, gastric plication does not involve removing any part of the stomach or rerouting the intestines.

  • Reversible Procedure: In some cases, gastric plication can be reversed or converted to another weight loss procedure if necessary.

  • Shorter Recovery Time: The minimally invasive nature of gastric plication allows for a quicker recovery compared to traditional open surgeries.

Risks and Side Effects

As with any surgical procedure, gastric plication carries some risks and potential side effects. These may include:

  • Infection
  • Bleeding
  • Leakage at the suture line
  • Stomach stretching over time
  • Nutritional deficiencies

It is important for individuals considering gastric plication to discuss these risks with their surgeon and understand the potential complications.

Candidacy

Gastric plication is typically recommended for individuals with a body mass index (BMI) of 30 or above who have been unsuccessful with traditional weight loss methods. It may also be an option for those who are not suitable candidates for more invasive weight loss surgeries.

Preparing for the Procedure

Before undergoing gastric plication, patients will go through a thorough evaluation process, which may include:

  • Physical examination
  • Blood tests
  • Imaging tests
  • Nutritional counseling

Additionally, patients will need to follow specific pre-operative instructions provided by their surgeon, which may involve dietary changes and lifestyle modifications.

The Gastric Plication Procedure

On the day of the procedure, patients will be given general anesthesia to ensure they are comfortable and asleep throughout the surgery. The surgeon will then make several small incisions in the abdomen and perform the gastric plication. Using a laparoscope, the surgeon carefully folds and sutures the stomach, creating pleats and reducing its size.

The entire procedure usually takes about one to two hours, depending on individual circumstances. After the surgery, patients are monitored in a recovery area before being transferred to a hospital room or allowed to go home the same day.

Recovery and Post-Operative Care

Following gastric plication, patients will need to follow specific post-operative instructions provided by their surgeon. These instructions may include:

  • Pain Management: Medication will be prescribed to manage any discomfort or pain during the recovery period.

  • Diet and Nutrition: Initially, patients will be on a liquid or pureed diet, gradually transitioning to soft foods and then a regular diet. It is important to follow the dietary guidelines provided by the surgeon or a dietitian to ensure proper healing and weight loss.

  • Physical Activity: Light physical activity is encouraged after the surgery, with gradual progression as advised by the medical team.

  • Follow-Up Visits: Regular follow-up visits with the surgeon are essential to monitor progress, address any concerns, and make necessary adjustments to the post-operative plan.

Results and Expectations

The results of gastric plication can vary from person to person. Many individuals experience significant weight loss within the first year following the procedure. On average, patients can expect to lose approximately 50-70% of their excess body weight over a period of 12 to 18 months.

It is important to note that gastric plication is not a quick fix or a standalone solution for weight loss. It requires a commitment to lifestyle changes, including healthy eating habits, regular physical activity, and ongoing medical support.

Comparison with Other Weight Loss Procedures

Gastric plication offers an alternative to other bariatric surgeries, such as gastric bypass or gastric sleeve. While gastric plication is a less invasive procedure with a shorter recovery time, it may not be as effective for individuals with a higher BMI or certain medical conditions.