Endoscopic Gastric Plication
Introduction
One of the procedures that is used to treat obesity is endoscopic gastric plication, in which the stomach capacity is reduced by simple endoscopy. This is achieved by folding the stomach pouch, reducing its ability to distend and thus limiting its capacity.
Overview
The endoscopic gastric plication procedure is performed so that no part of the abdomen is cut to access the stomach. So that, a flexible tube known as an endoscope is passed through the mouth down the esophagus and into the stomach.
During the procedure, the endoscopist will stitch the stomach together. The sutures change the structure of your stomach by folding it over itself, leaving it shaped like a tube. The nonfunctional part of the stomach is not removed and remains in the abdomen.
This new stomach holds less food, which means you feel full faster, absorb fewer calories and lose weight over time. The new shape of your stomach also helps it empty into the intestines more slowly, and this helps you feel fuller longer.
Benefits of endoscopic gastric plication
There are many benefits of endoscopic gastric plication surgery, here are some of them :
• Less invasive:
This procedure is less invasive than other surgical procedures as it does not involve any cutting or stapling.
• There is no need to rerouting of intestines:
Endoscopic gastric plication does not require rerouting of intestines as with gastric bypass.
• Reduction of conditions associated with obesity:
This procedure helps to reduce of conditions associated with obesity such as, Type 2 diabetes, fatty liver disease, and sleep apnea.
• Lower-back pain and joint pain:
Lower-back pain and joint pain are typically relieved or improved in nearly all patients who have had endoscopic gastric plication.
prepare for endoscopic gastric plication
If you decide to undergo endoscopic gastric plication, your doctor may ask you to undergo some laboratory tests to evaluate your general health.
The doctor will discuss with you specific instructions you will need to follow before the procedure, such as fasting from midnight the day before the procedure, and temporary changes in your medications before and after the procedure.
steps of endoscopic gastric plication procedure
The endoscopic gastric plication procedure includes the following steps:
Step 1-Anesthesia:
General anesthesia is applied during the procedure.
Step 2-Inserting the endoscopic in the mouth:
The doctor inserts the endoscope into your mouth, down the throat and into the stomach.
Step 3-Determine the locations of the sutures on the stomach:
The doctor will draw lines along the stomach’s front and back walls, where sutures will be placed.
Step 4-Reducing stomach size:
The doctor tightens the sutures, drawing the front and back walls of the stomach together to reduce its volume by about 70%.
Step 5-Stomach tissue healing:
The sutures do not dissolve, your stomach tissue will heal around them to form the new shape.
recovery after endoscopic gastric plication surgery
After having an endoscopic gastric plication, you can go home the same day. First, you must follow a diet that relies entirely on liquid meals, for example, you must rely on protein shakes and similar products.
You then transition to a soft food, such as oatmeal, bananas, and soft-cooked rice. Finally, you can return to regular eating. It is better for you to take a day or two off from work.
risks and complications of ENDOSCOPIC GASTRIC PLICATION
The risks and complications of endoscopic gastric plication procedure are as follow:
• The pain:
You may feel pain in your stomach, nausea and vomiting after the procedure, but this is usually temporary.
• Infection:
Your doctor may give you antibiotics before the procedure to lower the risk of infection.
• Pulmonary embolism:
A pulmonary embolism may be caused by a blood clot in the lung.
• Weight regain:
After having an endoscopic gastric plication, your stomach may expand again and you may regain weight.
How is the stomach accessed in endoscopic gastric plication?
Endoscopic gastric plication is a minimally invasive procedure that allows access to the stomach through the mouth and esophagus. A flexible endoscope is inserted, which enables the surgeon to visualize the stomach’s interior. Using specialized instruments, the surgeon then folds and sutures the stomach wall to create a smaller pouch, effectively reducing its capacity.
Is the intestine redirected in laparoscopic gastric plication?
In laparoscopic gastric plication, the intestine is not redirected. Instead, this procedure involves folding the stomach inward and securing it in a smaller shape, thereby reducing its capacity without removing any part of it. By limiting the stomach size, gastric plication helps patients feel full with smaller portions.
How are the locations of sutures on the stomach determined in endoscopic gastric plication?
In endoscopic gastric plication, the locations of sutures on the stomach are determined through careful assessment of the gastric anatomy and the individual patient’s needs. The procedure involves visualizing the stomach’s contours via an endoscope, allowing the surgeon to identify appropriate areas for plication. The aim is to maximize gastric volume reduction while ensuring the structure and function of the stomach are preserved.
How is the size of the stomach reduced in endoscopic gastric plication?
Endoscopic gastric plication is a minimally invasive procedure designed to help individuals reduce the size of their stomach. During this process, a flexible endoscope is used to access the stomach through the mouth. The surgeon then folds and sutures the stomach’s inner lining to create a smaller pouch, effectively decreasing its capacity. This reduction in stomach size helps patients feel fuller faster, leading to decreased food intake and promoting weight loss.
Can you gain weight back after endoscopic gastric plication?
Endoscopic gastric plication is a weight-loss procedure designed to reduce stomach size and promote long-term weight management. However, while many individuals experience significant weight loss initially, there is a possibility of regaining some weight after the procedure.
Results
Endoscopic gastric plication helps you control your appetite while you establish new eating habits. This procedure is performed using an endoscope, that is a flexible tube with a light, camera and an endoscopic suturing device attached. The tiny camera allows the doctor to see and operate inside the stomach without making incisions in the abdomen.
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