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DR. ORTIZ EXPLAINS AN ADVANCED GASTRIC PLICATION SURGERY

Gastric Plication – Stomach Sparing Gastric Sleeve®

The newest weight-loss procedure to be introduced is known as the Stomach Sparing Gastric Sleeve® and can be considered an alternative version of the traditional gastric sleeve. Obesity Control Center holds the world's highest safety standards from the Joint Commission and is a Certified International Center for Excellence. These designations put OCC in the highest class of health and safety, exceeding many American hospitals.

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WHAT IS GASTRIC PLICATION SURGERY?

The Stomach Sparing Gastric Sleeve®, a new weight loss surgery technique.

Gastric plication is one of the newest weight loss innovations available at the Obesity Control Center in Tijuana, MX, and medical professionals are already calling it the most exciting advancement in the field since the adjustable Lap-Band. Also known as the Stomach Sparing Gastric Sleeve™, this innovative procedure, available exclusively at Obesity Control Center, has shown to produce significant weight loss results for patients who are dealing with weight gain and obesity.

Over 20 years of experience and more than 25,000 patients is what sets us apart at Obesity Control Center. We are the busiest standalone center of excellence in metabolic and bariatric surgery and are leading innovators in the field. Gastric plication can be considered an alternative version of the traditional gastric sleeve. Both procedures involve creating a sleeve within the stomach that helps patients feel full faster and consume smaller amounts of food.

However, there are significant differences in how the sleeves are created.

In the traditional method, referred to as sleeve gastrectomy, a thin, approximately 8-inch long, vertical sleeve is created through the use of surgical stapling, and a portion of the stomach tissue is removed. In plication surgery, the stomach tissue is not removed. Instead, it is sutured. That means there is no use of surgical staples, implants, or gastric resection (cutting).

To read Obesity Control Center’s extensive study on gastric plication and The Stomach Sparing Gastric Sleeve®, visit europepmc.org.

Studies have shown that gastric plication can also eliminate some of the potential complications associated with traditional gastric sleeves, because of the suturing process. The procedure has also been recommended as the ideal revision surgery for patients who have experienced complications from lap band surgery.

A study published in Bariatric Times showed that weight loss outcomes for both male and female patients were very significant and comparable to that of gastric bypass surgery.

Because the procedure has proven to achieve such significant results, gastric plication now accounts for a significant portion of all weight loss surgeries performed at the Obesity Control Center in Mexico. To learn more about gastric plication, visit ncbi.nlm.nih.gov.

Schedule a Gastric Plication Consultation Today

Call 1 866-893-8005 or email us here to talk with one of our US-based coordinators. Learn how you can get the life you’ve always wanted with the help of the Obesity Control Center.

The OCC Difference

  1. Quarter century specialized in the weight loss surgery field. We were some of the first to perform bariatric surgical procedures.
  2. Three Master Bariatric Surgeons caring for every patient. You’re always in the hands of a world-renowned and highly-trained surgeon. We are the only international team of bariatric surgeons, offering globalized bariatric healthcare and the best of the best to our patients.
  3. Fully accredited as a Center of Excellence in Bariatric and Metabolic Surgery. We have also obtained the Golden Seal awarded by the Joint Commission International that signifies that we met the highest standards in patient safety and quality available.
  4. Pioneers in the field, including several registered techniques, patented devices, and many “firsts” in the field like teenage obesity treatments, the IGS Improved Gastric Sleeve®, the Stomach Sparing Gastric Sleeve®, the Double-Buttress Sewing Technique and more.
  5. Faster recovery and better outcomes. Shorter times under general anesthesia and a non-invasive abdominal wall preservation techniques.
  6. Unique patient pre-surgery education and preparation and 5 years follow-up program, an industry first!

Gastric Plication – Stomach Sparing Gastric Sleeve® FAQS

PRE-SURGERY

Who is an ideal candidate for gastric plication surgery?

Someone in good overall health, who is prepared to minimize their food intake for significant weight loss results, is ideal. If you carry excess weight and have a BMI above 30, you are a good candidate for gastric sleeve plication surgery in Mexico.

Why is gastric plication called ‘Metabolic surgery’?

In the fight against obesity and excess weight, weight loss surgeries, such as bariatric surgery, deliver lasting weight loss. Recent advances in the medical field have proven that these weight loss surgeries not only dramatically influence the excess weight a patient carries, it also balances the metabolism, especially the insulin and blood sugar levels. This is why gastric plication surgery is a ‘Metabolic surgery’. Medical professionals don’t completely understand how bariatric procedures, like gastric sleeve plication surgery, regulate insulin, blood sugar, diabetes, cholesterol, lipids, and sleep disorders (sleep apnea) but it is a fact that it has a direct impact for many patients.

How do I prepare for Gastric Surgery?

Like in life, mental, physical, and nutritional preparation is essential for a successful outcome. Additional requirements may be suggested depending on your specific case.

Pre-operative weight loss will detox your liver, making it lighter, and resulting in a quicker, safer weight loss procedure with less impact on your overall status. Even 5% of total body weight loss will result in a dramatic improvement in your ability to respond to surgical stress.

Nourishment at a cellular level will require you to compensate for the deficiencies you have accumulated over the years and the deficiencies expected after weight loss surgery.

Research has proven that the only way to replenish these deficiencies is through Bariatric Supplementation. This means that a Bariatric Multivitamin and a Bariatric Protein source prior to the Gastric Plication will enormously increase your safety profile and a successful outcome. Mental preparation includes looking at the way we relate to food and being proactive at a healthier diet and lifestyle.

Gastric Surgery in Mexico, really?

At OCC, we have over 25,000 patients that have traveled to our Tijuana practice outside of San Diego with no major security incidents. Our state-of-the-art medical facility is in the heart of the commercial district, less than half a mile away from the international border to the U.S.A. Tijuana, Mexico is now the second busiest medical destination for the traveling patient. As one of the top medical facilities performing weight loss surgeries, OCC boasts .four full United States-based accreditations for health and safety in procedures like gastric plication surgery.

What’s the price for a gastric plication?

Depending on the type of gastric surgery requested, prices can vary from around $6,500 to $9,000 dollars. We suggest you look into testimonials online, talk to other patients, and don’t be misled by price. The savings by coming to OCC is around 50% of the cost in the US. Don’t risk it by looking for the lowest price. Your health and wellbeing are very valuable.

Included in the cost of your gastric bypass surgery:

  • 1 night stay at our world-renowned hospital
  • 1 night stay at a local 5-star hotel
  • Luxury transportation to and from the San Diego International Airport
  • Team of three board-certified surgeons, including two anesthesiologists
  • All operating room costs and surgical materials
  • All pre-op evaluations and follow-up care

How much weight should I expect to lose?

Gastric sleeve plication surgery delivers substantial weight loss in a relatively short period of time. Gastric sleeve plication surgery patients report about 65% EWL (excess weight loss) by 18 months post surgery. For example surgery patients with 100 lbs. excess weight will lose at least 65 pounds. Other factors that influence the total weight loss include the patient’s preparation for gastric sleeve surgery. This includes mental, physical, and nutritional preparation to lose weight. Pre-operative preparations include supplementation, protein intake, and reducing the amount of food consumed. This is why at OCC you will see that all patients undergo pre-surgery preparation and are followed for 5 years after the procedure. OCC wellness is an online program that helps you achieve your goals.

What makes OCC plication different from the ones performed elsewhere?

The OCC Stomach Sparing Gastric Sleeve® is a standardized weight loss surgery technique where the goal is to replicate what is done when performing a gastric sleeve with the only difference being that the stomach is folded in instead of stapled and resected.

No one has published a more comprehensive study on the effectiveness of plication and The Stomach Sparing Gastric Sleeve® than the Obesity Control Center.

It is a technique where the size of the residual volume is calculated and the pressure of the inside of the stomach is measured while performing the inward folds. The suture materials, the suturing technique, the layers of folds, and the specific anatomical points including the fundus, the incisure, and the pylorus, or outlet, have all been addressed in the new technique and are specifically dealt with to avoid any problems as seen with the conventional technique. In fact, our series of patients have shown fewer heartburn symptoms, if any, after surgery. This is a major difference between this procedure and the gastric sleeve where reflux symptoms after surgery are frequent.

SAFETY

How safe is gastric plication surgery?

Every bariatric surgeron at Obesity Control Center® performs gastric plication surgeries laparoscopically, which is minimally invasive. Laparoscopic surgery only requires several small incisions, resulting in a shorter surgery duration and hospital stay, fewer complication rates, faster full recovery, smaller scars, and less pain than open procedures. It is actually common in all other bariatric procedures to re-gain weight. The trick is to perform a minimally invasive gastric sleeve plication procedure that limits the amount of weight that can be regained. At OCC, our bariatric surgeries are performed to be safe and effective, preferably permanent weight loss. Weight loss has to do with a structured bariatric program, it’s not just another surgery!

OCC’s complication rates are among the lowest in the published literature. Add that to the benefits of the New Improved Gastric Sleeve, and suddenly the results are more promising than ever.

As indicated in an article found at health.ucsd.edu, gastric plication surgery is safe.

What is the mortality rate for gastric plication surgery?

With a state-of-the-art medical facility in Tijuana, Mexico, our medical team boasts a zero percent mortality rate. Every bariatric surgeon and healthcare provider on our medical staff values health and well being. No bariatric surgeon performs gastric sleeve plication surgery on someone who is at risk of severe complications or other types of serious side effects. Gastric sleeve surgery patients with preexisting conditions, such as high blood pressure or high cholesterol, as well as those who have undergone previous abdominal surgeries, are always appropriately evaluated by a healthcare provider on our medical team prior to surgery at our Tijuana practice.

What about gastric plication complications?

Studies have shown that gastric plication surgery can eliminate some of the potential complications associated with traditional gastric sleeve surgery, because of the suturing process. The procedure has also been recommended as the ideal revision surgery for patients who have experienced complications from lap band surgery.

Like other types of surgical procedures, complications can happen like leaks, bleeding, hernias, and chronic heartburn. At OCC, we have your back. With over 25,000 procedures, we have streamlined not just the technique but the whole process of gastric sleeve plication surgery. So preparation is key for a full recovery and we will be holding your hand all the way.

Our complication rate is one of the lowest published in the literature. In fact, our leak rate is 0%, and with the implementation of the new techniques designed at OCC, our patients lose weight substantially without the undesirable symptom of heartburn.

Heartburn and reflux seem to be the predominant complaint after sleeve gastrectomy. At OCC, we have adjusted the technique to let the body heal properly and avoid this uncomfortable and sometimes frequent symptom months after the surgery is performed.

There are symptoms after having any type of surgery that are related to anesthesia (sleepiness, dizziness nausea, etc.) and others directly associated with the gastric sleeve itself (cramping, abdominal tenderness, vomiting). Fortunately, these are kept to a minimum and medically treated early so most patients can be up on their feet in a couple of hours and discharged the morning after. Many actually are out shopping the day after surgery!

Is gastric plication surgery painful?

Our process at OCC includes a gentle but short procedure that reduces the size of the stomach. The OCC difference includes specialized pencil-thin instruments and bladeless abdominal wall trocars. We use localized abdominal wall blocking agents that diminish the cascade of mediators that cause pain and inflammation. We use half the amount of gas pressure, where others use 20mm/hg, we use 10 to 12mm/hg. This results in less of the dreaded “gas pressure pains” associated with laparoscopic surgery. Our operating time is a fraction of the typical time reported in the literature. We’re in no hurry, we have simply streamlined the process. Less time under anesthesia means quicker full recovery times.

How about failures and weight regain?

On average, most patients can tolerate around 30% of their pre-surgical intake after the stomach or pouch adjusts. This restriction is enough to maintain the weight loss through the years. Patients that expand their stomach to a point where they can eat more than 50% of their pre-surgical intake can be candidates for a quick stomach revision which entails performing a running stitch to adjust the size of the plicated stomach over a calibration tube. In fact, this technique is so effective that patients who have a gastric sleeve with the same type of stomach stretching are candidates for the same technique. A simple sewing of the staple line over a calibration tube to adjust the size of the sleeve. These procedures tend to be quick, with little downtime and very effective where patients regain the original restriction they had after the surgical procedure.

POST-SURGERY

Can you have a normal life after surgery?

Many patients require several months to adapt to the procedure. This is usually predictable so our nutritionist will always prescribe a nutritional regimen that is easy to follow and will allow the patient to gradually move up to the following stage. You will start with a totally liquid diet for a few days, then drink liquids including the Bariatric Protein Meals, and then slowly move into mushy food and, finally, a normal diet with a smaller amount of food than before gastric sleeve plication surgery.

Daily activities and exercise should also progress at the same rate, but the surprising fact is that most patients recover much quicker than they thought; in fact, energy levels are usually higher than expected when the nutrition plan includes the Bariatric Multivitamin and Bariatric Protein Shakes recommended by our team of experts.

The only thing you can’t do after surgery is overeating without having severe discomfort, nausea, even vomiting. Ideally, most patients will return to three normal meals a day and three snacks between meals.

How do we prevent ischemia or stomach dying/blood flow issues and herniation?

The Stomach Sparing Gastric Sleeve® is specifically designed to avoid any and all of the problems documented with the conventional plication technique. One of these problems was the herniation of the folded stomach through the suture line, a portion of the folded stomach popping out of the containment stitch, and predisposing this segment to blood flow restriction due to strangulation. The modern technique avoids this by creating a double layer of running sutures that have been designed to contain effectively without tension over the stomach wall. This is achieved by using proprietary smart calibration tubes that measure the pressure inside of the stomach.

The technique itself is also very similar to the procedure used in treating gastroesophageal reflux and heartburn. This technique entails the wrapping of the stomach around the highest part of the stomach and esophagus. Hundreds of thousands of these surgeries have been performed and without any adverse reactions in the stomach mucosa, in and around the folds, food stasis, etc. We now know that the plication surgery has exactly the same benign effects when performed with the modern OCC technique.

How long does it take for your stomach to heal after gastric plication?

Recent studies show that the inner lining of the stomach can start healing in as little as 6 hours! It is important to follow all the guidelines that we teach our patients prior to surgery to ensure an uneventful recovery and a good outcome.

Can you drink alcohol after gastric plication?

Like any surgery, there is a recovery time, and our nutrition team recommends not drinking for the first trimester. (Although a glass of wine has benefits!)

Can you have gastric plication surgery repaired?

Yes, thankfully! This is what we have named the “Sleeve Rescue”. OCC is considered one of the top facilities for revision surgery (re-do surgery) and is frequently asked to treat patients that have regained weight or have heartburn symptoms after sleeve. In fact, many of the popular cheaper centers are a constant flow of patients that have “sloppy sleeves” that fail over time.

What do you eat after gastric plication surgery?

It starts with liquids during the first days then gradually progresses to mushy food, then semi-solids to full solids. All this happens during the first couple of months. The good news is massive weight loss occurs during this time and all the health indicators dramatically get better during this period.

How much can your stomach hold after gastric plication?

Patients will notice once they are past the liquid phase and eating full solids that the restriction level will result in around a third of the original meal volume. Eating a third of your typical meal will definitely induce weight loss and better overall health.

Schedule your Gastric Plication Procedure Today at our Weight Loss Surgery Clinic

Call 1 866-893-8005 or email us here to start your weight loss journey. Call one of our US-based coordinators and learn how you can get the life you’ve always wanted with the help of the Obesity Control Center in Tijuana, MX.

References

Click here to see how OCC compares to other facilities in terms of surgical rates, infection rates, mortality rates, and more.