Laparoscopic gastric plication or laparoscopic greater curvature plication or gastric imbrication is surgery with minimum aggressive surgery operation and that is the best surgery operations for overweight persons who are want to at least dangerous and affordable surgery weight loss surgery. Of course we should pay attention to this subject, this kind of surgery is modern and at comparing with other surgeries, many people like it and want to reduce weight by this method. DR.Talebpour is who first person this method to world and who is the Iranian surgeon. Of course this therapy shrinks size of stomach and its wall is bent. At this method, no external device need what is embed at inside patient’s stomach and in addition any part of stomach not remove from it. at gastric plication, your surgeon bents the stomach toward to inside and closes with stitches so that your stomach make smaller than before and its capacity reduces to three times at once surgery. When the surgery was finished, surfeit is feels as quickly as and you could control amount of your food.
Reasons for utilize gastric plication
Obesity has side effects including sleep apnea, hypertension, diabetes and unusual cholesterol and negative physical movements. Modern lifestyle cause these illnesses and at next consequence is reduces eating style and its customs is changed. Depression is other psychological consequence of overweight. Of course we should mention there are different procedures for losing weight, the specialist and surgeons offer gastric plication for reduce their weight, and that is takes a year and surely have lesser side effects. When you experience gastric plication, you have not fell hungry and your health enhance as soon as.
Suitable persons for gastric plication
If you bored from traditional methods for losing extra weight, gastric plication is the best way for this purpose. Your mass index (BMI) to be more than 35 and less than 40, therefore it is better for you utilize from gastric plication. You should calculate your BMI. If woman want to be pregnant, and the patients who have not access to near medical centers, therefore these persons experience gastric plication than have not visit these medical centers as many times. If you can control eating habits therefore you should experience gastric plication, this kind of surgery helps you for less eating and you can control portions of food. Please pay attention to this point, if you have habit for snack food and feeding small portions of food, you are not suitable for this kind of surgery, and only overweight people should use this kind of surgery because they have eating extra food. But if you have high blood pressure, diabetes, sleep apnea, it is better experience gastric plication than not have these diseases. Doing physical activities after healing gastric plication causes the patients feels they satisfy after experience this kind of surgery.
The most important benefits of gastric plication
When we comparing gastric plication with other weight loss surgery, we notice to some benefits:
- Gastric plication could be reverse like gastric banding. When this problem occurred, the stomach comes back to previous shape.
- At comparing with gastric bypass, the digestion system not organized.
- There is no need to additional device, dissimilar with gastric banding
- There is no need for take away portion of stomach
- About 40-70% of weight of patient will be lost at first year when surgery was finished.
- At compare other weight loss surgeries, health conditions, cholesterol level and diabetes level will be promotes and enhance
- There is no need to continual visit for doctor from the patient
- Its expense is less than surgery procedures
- It not have aggressive methods like as open surgeries drawbacks such as making incisions
- The patient could go home at least 24 hours or at maximum 48 hours
- At comparing other surgeries, the patient feels less sensational diseases discomfort and there is no need to make large cuts on abdomen, but it is accomplish by laparoscope
- This kind of surgery has limit quality, therefore the patient no need to other medicine or supplements
- The patient could begin all of physical activities by double
If the patient obtains extra weight, this procedure could be reiterated again.
Accomplish gastric plication
Usually the surgeon uses general anesthesia. The surgeon no need open surgery, no need to make large cuts and by numerous cuts on the patient’s belly. The surgeon inserts laparoscope (a tubular device which equipped to camera at its end) and other long and tubular devices to the patient’s abdomen. There is no need to stiches, the surgeon will be bent wall of stomach and finally closes with stitches. Four nibbles make on the gastric wall, two nibbles makes on interior and two other makes behind of stomach. When they repair with stiches, the surgeon bent wall of stomach and wrap it. Finally, your stomach becomes to tubular shape. Your health conditions and expertise of your doctor determines your surgery time and it tolerate between 40 minutes to 2 hours. When the surgery was finished, the patient could come back home.
All of pre-doings before gastric plication
When your surgeon suggests gastric plication, you should some works than experience the best surgery operation:
- Not eat any food from 12 hours to beginning surgery
- Not drink any beverages from 6 hours to beginning surgery
- Use consultation nourishment specialist
- Use physiological consultation
- Doing blood test
- Knowing all of things about pre surgery and post-surgery works from your surgeon
- Coordinate with your relatives for you pick up from hospital
- Not drink any alcohol beverage before begin surgery
- Not smoke at least one week before begin surgery
- To be ready for surgery according emotional and intellectually
- Not consume any medicine, unless authorization from your doctor
Rehab and healthcare after the surgery
You should severe healthcare at first month and surely observe your food diet. Drinking liquids including water, juices, black tea, beverages and etc drink at two weeks you go back home. When two weeks begin, you could eat soft foods such as fruits, soup, yogurt and mixed food. When you feel your stomach rehab therefore you could eat some foods, but you should observe your health conditions. Please shall pay attention to your weight, if you feel lots of fat, doing these to do list than feel comfort.
- For the better digest, please chew and swallow food slowly
- Small spoon recommended for you
- Eating red meat, egg, milk, because these foods supply protein for your body
- Not drink meanwhile eating, because it causes throw out food. Your stomach could not keep both liquids and solid foods at simultaneity
- It is recommended, not eating, candy, alcohol and soda
- You could eat snack food
Gastric plication side effects
There is should attention, this surgery has some side effects. Of course intricate and its complicated conditions are little at comparing other weight loss surgeries. If the patient doing all of doctor’s instructions, surely these side effects can be prevent. Of course these side effects are below:
- Frail bleeding
- Hurts at other organs
- Leak cause of stiches area around your stomach
- Throw out of food from stomach
- Intricate come from general anesthesia
- At overeating, stretch stomach more than 15%
Expense of gastric plication
The expertise of doctor and equipment at hospital are determinant factors for expense this surgery. Of course the city you choose to experience this surgery affects your money. This surgery tolerates between $ 10000 to 15000 in the USA. It is better you should negotiate with your doctor before undergo it. Therefore you should aware from all of things about this surgery, and your doctor should offer all of information for you before begin the surgery.
Quality gastric plication in Iran
For the first time, the Iranian surgeons suggest this kind of surgery in world. When its side effects are low and its cost is affordable for the patient, therefore surgeons and patients could propagation this surgery around the world. We can suggest this theory, there are high skilled surgeons in Iran and this country is the best destination for the love patients’ gastric plication. At cities including Mashhad, Tabriz, Shiraz, Isfahan and Tehran and Kish Island the clinics what equipped to the modern technologies could receive from all around the world, gastric plication is doing at the clinics cities. Equips at these clinics are the best and modern and the surgeons offer the high quality surgery.
Expense gastric plication in Iran
When we compare this kind of surgery in Iran with other countries we notice that is low cost and at other cost is very expensive. Gastric plication in Iran tolerates between $ 3500 to 5000 dollars, meanwhile it costs at USA, and more than $20000 and in UK estimates up £۴۰۰۰ pounds and finally in Lebanon reaches to $ 4667.
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