Get Gastric Plication surgery from Dr. Terry Simpson
...and help us obtain data for the FDA and insurance companies confirming Gastric Plication surgery as the most safe bariatric procedure in the world today. You can help us qualify what is going to become the newest and safest weight lost surgery available in the US. (Remember, this is a major operation and all surgeries have some risk). This means you can have Gastric Plication surgery done by one of Arizona's most experienced weight loss surgeons Dr. Terry Simpson. You can choose to have Gastric Plication surgery here in Phoenix. Always remember that we have more experience than any other surgical provider in Arizona and our postoperative care can't be beat.
Gastric Plication is a new weight loss surgery in the United States
But, Gastric Plication is not a new operation. The procedure was pioneered by Dr. Talebpour and his first surgeries on human volunteers began in 2001. The results of Dr. Talebpour's early surgical studies were that Gastric Plication performs the same as Lap-band surgery and RNY bypass (60% excess weight loss after 6 months, 55% after 4 years) and risk of complication was very low. At the time of this writing Dr. Talebpour has performed and tracked over 500 Gastric Plication surgeries over 10 years, reporting a complication rate of less than 1%. Since those studies, Gastric Plication has been practiced worldwide. But the procedure is only now being done on an experimental basis in the United States. Other names for Gastric Plication surgery include gastric imbrication or gastric sleeve plication.
Dr. Terry Simpson is on the team that is to qualify Gastric Plication surgery...
...for insurance coverage in the United States. As usual, Dr. Simpson is at the inception of the latest bariatric surgical science well before any other surgeon in Arizona. As with Lap-band surgery which he pioneered in Arizona, he has more experience with Gastric Plication than any other surgeon in the area. The group that Dr. Simpson works with reports a 65% one year excess body weight loss with Gastric Plication surgery (same amount as seen with RNY bypass and more than Lap Band). This group's complication rate was very low with the most common complaint being nausea and vomiting the first week after the operation (in less than 3 percent of patients studied and as the technique evolved that number decreased). Dr. Simpson's work in this research assures he knows and applies the latest surgical technology when performing Gastric Plication surgery. Keep in mind that this procedure has been performed worldwide for over a decade.
Gastric Plication (Imbrication) resembles Gastric Sleeve surgery
Gastric sleeve surgery requires a portion of the stomach be stapled or removed to decrease volume. Ninety percent of the stomach is isolated or removed. After the operation the reduced stomach holds 4-8 ounces. The obvious advantage of Gastric Plication is the stomach is reduced by simply folding it into itself. None of the stomach is damaged by staples or being removed.
Gastric Plication eliminates many complications associated with Lap-band surgery
Performed through a laparoscope, Gastric Plication is minimally invasive. The stomach is folded into itself, limiting the capacity of the stomach from about 50 ounces to 4 to 8 ounces. No cutting or stapling is performed so the risk of complications are obviously much smaller than traditional bypass operations. Lap-band surgery is unique in that it requires implantation of a device around the top of the stomach. The fill port is also implanted and attached to the Lap-band by a tube. Some patients have very low tolerance to these implants and the band must be removed when rejected by their body. A very few patients don't deal well with the fill procedure. To adjust the Lap-band saline solution is injected through the skin into the fill port. The Lap-band fill procedure is easily tolerated by most patients. But every once in while a patient has problems with the injection. Gastric plication only requires simple sutures (stitches) that are typically never rejected by the human body. It requires no maintenance (such as fills).
Gastric Plication (Imbrication) is truly reversible weight loss surgery
Lap-band surgery was the most completely reversible weight loss surgery prior to the advent of Gastric Plication surgery. Lap-band surgery reversal requires that the lap-band and its port be removed. Depending on the individual case this may not be able to be accomplished using laparoscopic surgery. An open procedure may be required. To reverse Gastric Plication surgery, sutures are simply removed and the stomach unfolds. In almost all cases reversal is easily accomplished using a laparoscopic procedure.
The advantages of Gastric Plication over Lap-band and bypass surgeries:
- No foreign devices are implanted (the Lap-band is implanted along with its fill port and tubing).
- No adjustments are required (the Lap-band requires the injection or removal of saline solution to adjust it).
- Food is far less likely to become stuck (food can more easily become stuck with the Lap-band).
- Gastric plication offers more restriction than Lap-band surgery. Reports on Gastric Plication surgery show 60-65% excess body weight loss in one year vs. 45-55% for Lap- band surgery (although individual results will vary, this is the average).
- No cutting of the stomach or the intestine (all bypass surgeries include radical surgical reduction of the stomach and small intestine).
- Gastric Plication causes no nutritional deficiencies. Bypass patients can suffer anemia, osteoporosis, vitamin deficiency and protein deficiency because the small intestine is radically shortened.
- Few food restrictions compared to bypass or Lap-band surgeries. Patients can eat most anything, because even though the stomach is drastically reduced in size, it is not surgically altered and functions normally.
- Gastric Plication can be reversed more easily than any other procedure.
- Gastric Plication is safer than all other weight loss surgeries (less than 1% complication rate in Dr. Talebpour's studies).
Gastric Plication surgery is best used for patients who cannot tolerate the Lap-Band...
...and wish to have another bariatric surgery option while still maintaining relatively less invasiveness.