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Ive heard about a new Bariatric Surgery called Plication, is it good? efficient? what a about its long run? its scientific evidence?
11 أبريل 2013

د. Thierry Yazbek الجراحة
it is being done and published since 2006, it is still not FDA approved, but it is being done as a restrictive surgery in most of the international bariatric centers( cleveland, HSCM...).
as a comparison to sleeve gastrectomy
the sleeve reduce the size of the stomach by 80%, the plication reduce it by 70%.
the Excess Weight Loss is by 60% for the sleeve and 50-60% for the plication.
the only difference is the complications, in the sleeve the percentage of gastric leak is around 2.2, it is rarely described in the plication.
on the long run (5 years) you will still had 50% of Excess Weight Loss
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د. Antoine Younan الجراحة
Gastric Plication is a restrictive procedure. It reduces the size of the stomach and limits the amount of food that can be eaten . It does not cause decreased absorption of nutrients or bypass the intestines.
It is done Laparoscopically . The stomach volume is reduced about 70%. There is no cutting, stapling, or removal of the stomach or intestines during the Gastric Plicaiton. The Gastric Plication may potentially be reversed or converted to another procedure if needed.
It is not approved scientifically, as an efficient procedure for morbid obesity as the sleeve or the bypass. It still experimental,and more studies and follow up are needed to validate it.
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