It is a procedure that involves folding the stomach to reduce its size.

• HOW GASTRIC PLICATION IS DONE?

Gastric Plication process is done by making 5 little incisions in the abdomen and with the help of long endoscopic surgical tools along with an endoscopic lens, utilizing a laparoscopic surgery. The procedure utilizes 1 or 2 layers of sutures that cannot be absorbed by the body to fold the stomach wall. This procedure reduces the stomach capacity by %70, lowering the volume of food eaten. 
Cutting or removal of stomach or usage of staplers is out of the question. No section of the stomach or intestines is removed. Reverting this procedure or changing it into other surgical methods are theoretically possible. The surgery takes an hour and requires 1 or 2 days of hospital stay.

• HOW DOES GASTRIC PLICATION FACILITATE LOSING WEIGHT?

Gastric Plication is a restrictive process. It reduces the stomach size and limits the food that can be eaten in a meal. There won’t be difference indigestion, but the feeling of fullness comes from a much lower volume of food eaten. 
The feeling of fullness continues for about a couple of hours and after the folding process, your appetite becomes curbed.

• ARE YOU A GOOD CANDIDATE FOR GASTRIC PLICATION?

Gastric Plication surgery is for the people who are fed up with traditional weight loss applications. Gastric Plication is recommended if the patient has a BMI of 35-40. Women who want to become pregnant and patients that don’t have a health clinic near them are good candidates for this surgery since this application doesn’t need regular check-ups at health clinics. 
This procedure is recommended for people who want to change their eating habits because this procedure helps them eat less. If you have a habit of eating frequently but little, this surgery is not recommended for you because this surgery is helpful for people who have morbid obesity. If you are experiencing hypertension, diabetes, and shortness of breath during sleeping, your doctor may recommend a Gastric Plication surgery. The patients who abide by the instructions of the surgeon to the fullest, including the recommended physical activities, will have satisfying results after this surgery.

• WHAT ARE THE RISKS OF GASTRIC PLICATION SURGERY?

Just like any laparoscopic procedure, there are a couple of risks in this surgery including; bleeding, infection, the infection of other organs and the need to turn into open surgery. There is no risk of leakage involving the sutures sewn to fold the stomach. 
The folded stomach sutures may cause a hernia to form and a surgical procedure may be needed. Also, the sutures may sever and devoid the weight loss ability of the application. 
The occurrence of all these problems are rare and only seen on %1 or less considering all the operations. The treatment of these problems is possible and if diagnosed and treated early, the risk of morbidity is little to none.

• WHAT ARE THE ADVANTAGES OF GASTRIC PLICATION SURGERY?

The patients may expect a loss of weight of %40 to 70 (in consideration to their original weight) in their excess weight in a year. Most of the diseases related to obesity are treated in more than %75 of the patients. Alongside that, the perfect results from the Gastric Plication Surgery after 1 to 4 years, the long-term results are still there to experience

• IS GASTRIC PLICATION SURGERY A GOOD OPTION FOR ME?

If your BMI is over 27 and you have some problems caused by obesity, Gastric Plication Surgery might be a viable option for you. Obesity-related problems get treated after the weight loss from the surgery occurs. Consult your options before choosing which one you will undergo with your surgeon about all possible surgical options.

• WHAT HAPPENS TO THE FOLDED PART OF THE STOMACH IN TIME, WILL IT DECAY?

The folded part remains alive and is not removed from blood circulation so that there won’t be a problem or a decaying. The only effect of the folding is the loss of ability for the stomach to enlarge to fit high volumes of food in it.

• IS IT TRUE THAT THIS PROCEDURE CAUSES BAD BREATH? IS THIS HAPPENING BECAUSE OF THE FOOD WASTE GETTING STUCK INSIDE THE FOLDS?

Bad breath can occur after an application in the process of utilizing different mechanisms that facilitates weight loss. 
The food waste getting stuck inside the folds thing is completely wrong.

• IT IS SAID THAT THIS OPERATION IS SO MODERN AND THUS, THE RESULTS ARE NOT PROVEN YET AND THIS OPERATION IS NOT POPULAR IN THE WORLD. IS THIS TRUE?

This statement is partially true because of its modernity. 
This surgery is invented in 1969 and its first phases, some medical study papers were published. 
In the year 2000, Dr. Talbour applied the current model of this surgery on animals and in the year 2002, the decade of the laparoscopic sleeve gastrectomy process, it was done on humans. 
Different types of research were made in many international health centers (small scale) and also, there is wide ongoing research made by the President of American Society for Metabolic and Bariatric Surgery, Dr. Phil Shawer in Cleveland. The first results were promising and there are a couple of papers published on this topic.

Gastric Plication Surgery is applied to many countries including Iran, India, Turkey, Greece, Mexico, Brazil, and Argentina, and lately, it is applied to some health centers in the USA routinely and approved prevalently.

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