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Gastric Sleeve Plication PDF Print E-mail

Gastric Sleeve Plication is a new weight loss surgery. Gastric sleeve plicaiton is a restrictive bariatric surgical technique without the use of implants and without gastric resection (cutting) and staples.

The stomach is reduced by dissecting the greater omentum and short gastric vessels, as in vertical sleeve gastrectomy; the greater curvature is invaginated: using multiple rows of nonabsorbable suture over bougie to ensure a patent lumen.


Early patient data demonstrate weight loss results similar to gastric bypass with no reports of complications. The procedure, best understood as an evolution of the more familiar sleeve gastrectomy surgery, offers weight loss surgery patients a number of very critical benefits:

  • A less invasive evolution of the gastric sleeve procedure, plication is an ambulatory procedure – no surgical drains, only 2 nights total hospital stay 

  • No loss of stomach tissue - the 'sleeve' is created by suturing rather than removal (preserving nutrient absorption capability)
     
  • No devices, no staples, no bands, no fills
     
  •  Reduced risk of early or late complications
     
  • No complication from leaks or bleeding at the staple line (as compared to gastric sleeve)
     
  •  Does not impair patient dietary habits
     
  • Early data (patients at 6-12 months post procedure) indicate resultant weight loss is comparable to gastric bypass

Initial clinical reports demonstrate satisfactory weight loss up to three years, and the study reported in this issue of Bariatric Times has similar findings for weight loss with the lowest early complication rates among all bariatric procedures. Weight loss was satisfactory, and favorably compared with results from VSG.

 


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