Gastric Plication: A New Option For Weight Loss
Author: Reinaldo Quijada
In our practice patients often receive them 'm afraid of the bariatric procedure performed in view of the need to sever stomach or intestine, at this time there is a new surgical option such as the gastric plication, in which among other benefits not require any cut in the digestive tract.This surgical procedure also performed by laparoscopy, led to weight loss in which we invest the so-called Greater curvature of the stomach, reducing the capacity of the stomach up to 80%, leading the patient to decrease the amount of food digested, acts as almost similar to the gastric sleeve, but has the additional benefits:
• No cutting or stapling of the stomach, already mentioned.
• It's quick recovery, requiring only 24 hours of hospitalization.
• Not leaving any drain, the patient soon returned to work.
• Not require stapling kit is a cheaper procedure.
• It may be reversible, since it does not make cuts in the stomach, only suture.
• Can be converted to any other procedure if necessary.
is important to mention that this procedure is about 2 years to be carried out globally, while we were pioneers in performing this procedure in our city, with very satisfactory results, and significant weight loss with improvement and cure comorbidities such as hypertension.
suggest the performance of the patients with a BMI near 35 kg / m2. and not having metabolic disorders such as hyperinsulinism or diabetes, because in that case would be candidates for other types of surgery and could be the gastric bypass. Do not suggest for a BMI above 40 kg. / M2.
In www.adiosobesidad.com get information relevant to this procedure, which will surely help cure obesity.
http://www.articuloz.com/nuevos-descubrimientos-articulos/plicatura-gastrica-una-nueva-opcion-para-adelgazar-4287334.html
About Gastric Plication Dr. E. Mena del Rio, the Model Hospital in A Coruña says
The laparoscopic sleeve gastrectomy a technique that has proved effective in the treatment of obesity in the last 10 years. Look while it is a technique with less complications than gastric bypass. Yet there remains a small percentage of around 1% of fistulae and bleeding in the staple line in some cases lead to another operation and can be difficult to treat.
gastric plication is a technique that produces the same restriction vertical gastrectomy gastric but unlike the latter does not require removing a portion of the stomach but the stomach invaginates upon itself without cutting thus avoiding risks Leakage and bleeding from the cut line of staples.
The surgical technique is to free the greater curvature of stomach (in the same way as is done in the vertical gastrectomy) and once released, will instead proceed to the section of stomach, you do is folding the stomach on itself following 2 lines of suture. The first suture line is performed with interrupted sutures of nonabsorbable material and the second suture is also a continuous suture of nonabsorbable material.
Advantages of this procedure
.- drastic decline the risk of gastric fistula or leak.
.- Drastic reduction in the risk of gastric bleeding.
.- Lower cost of the procedure and no endocortadoras use machines.
What is Gastric Plication?
By Dr. Hector Bernal, Diabetes and Obesity Clinic, Hermosilla, Mexico.
is a new surgical technique to treat overweight.
This procedure is becoming surgery attractive because no cuts are made into the stomach or intestine and not using staples or other prosthetic material.
gastric plication is a relatively simple (in experienced hands) is performed laparoscopically (ie there is no need to "open" to the patient), the mean duration of surgery is 60 to 90 minutes, with an overnight hospital stay.
This procedure involves using sutures (stitches), deteriorates the gastric capacity to leave a gastric pouch of approximately 100 ml, normal volume is about 1000 ml.
gastric plication combines the benefits of some traditional methods such as gastric banding or gastric balloon because it is simple, safe and reversible with the effectiveness of risk and complicated procedures as gastric bypass or sleeve gastrectomy.
Compared with the gastric balloon, gastric plication provides greater weight loss and the ability to be a permanent treatment (the ball must be removed after six months).
Even as this technique is relatively new in our country, have already conducted studies and follow patients over 7 years. Which have proven its safety and effectiveness.
What are the advantages of this procedure?
• No cuts in the stomach or intestine.
• Cheaper.
• No implants.
• is reversible, because it is not crippling.
• It is less invasive = safer.
• More effective than the band gástrica.
http://www.adios-obesidad.com
POR PRIMERA VEZ EN ESPAÑA
La clínica Teknon realiza reducciones de estómago pioneras por vía oral
BARCELONA, 9 Mar. (EUROPA PRESS)
Photo: DIDIER VIDAL / Wikimedia Commons
Teknon Medical Center of Barcelona has been successful for the first time in Spain reductions stomach endoscopically without need to practice any incision or scar, improving postoperative patients.
The first four statements, taken between February 28 and March 1, patients were discharged from hospital at 12 hours of its operation without any complication.
surgical treatment - primary surgery called endoluminal of obesity - can reduce the capacity of the stomach by mouth in an endoscopic procedure which involves making pleats and stitching the stomach to reduce its size.
Thus, the stomach capacity is limited and the patient has a high satiety by eating a small amount of food.
The operation, in charge of the Digestive Endoscopy Unit Teknon under the leadership of Jorge Espinosa and Jesus Turro, is part of the latest trends in the field of surgery to take natural orifices of the body as an entry of surgical instruments.
"The endoscopic approach offers substantial benefits to patients, as being a minimally invasive treatment reduces pain after surgery, reduces the risk of infection in the absence of injury and contributes to the aesthetics and recovery fast ", according to Espinosa and Turro.
natural orifice surgery is especially recommended for those patients who are overweight or obese with body mass indexes between 34 and 40 who have failed conventional dietary treatments.
may also be appropriate for those patients the intragastric balloon or bariatric surgery has not worked or did not want to undergo major surgery.
After discharge, the patient may make a relatively normal life, and one month after eating a balanced diet may be conventional guide an interdisciplinary team.
In U.S. and Europe have performed 74 operations using this technique that achieves an average reduction of 32 percent of excess weight during the first six months.
0 comments:
Post a Comment