Gastroplication is an operation in which the stomach is sutured in a vertical direction. In particular, on the stomach from the side of the large curvature from the esophageal-gastric junction to the antral section, tightening sutures are applied. As a result of the operation, the lumen of the stomach along its entire length is maximally narrowed. This allows you to limit the intake of food at a time and reduce the number of calories consumed.
Gastroplication is a restrictive intervention to reduce the volume of the stomach to limit the intake of food. This type of intervention also includes surgery to install a bandage on the stomach and sleeve gastroplasty. These operations differ in the way they are performed and have some specific features. However, the principle of operation is the same for everyone.
The difference between gastroplication and sleeve gastrectomy lies in the technique of performing the operation. To perform sleeve gastroplasty, an incision of the stomach is made in the vertical direction and part of it is removed. There is an even more significant difference between gastroplication and banding. When banding, no incisions of the organs are made, except for the intersection of the vessels. A ring is placed on the stomach, narrowing its lumen. At the same time, the diameter of the ring can be changed at any time after its installation.
Weight loss when using gastroplication occurs within a period of one to two years. After that, the body’s metabolism is optimized and the body weight ceases to decrease.
It should be noted that gastroplasty is a new method in medical practice, which has not yet been fully studied. The American Society for Metabolic and Bariatric Surgery (ASMBS) recommends that gastroplasty be considered as a subject of scientific research.
In total, only a few thousand such operations have been carried out in the world. Therefore, the data on the method of gastroplasty is still not enough to speak with complete confidence about its pros and cons. Meanwhile, various sources claim to reduce weight by 10-80% using this method.
Patients who are planning to undergo gastroplasty should understand that the method used is not fully understood. They should be informed that the results and consequences of the operation cannot be determined with the necessary accuracy. In addition, patients should be aware that they are taking part in a scientific study.
Results of gastroplasty
Indications for gastroplication
The indication for the procedure is a body mass index value of more than 35 units.
The operation can also be performed on a patient with a BMI of less than 35. In this case, the indication is the presence of a disease caused by excess weight (diabetes mellitus, varicose veins, diseases of the joints of the legs, high blood pressure), as well as a hereditary predisposition to the accumulation of excess weight or diabetes.
Another group of patients who are recommended for gastroplication is those who can not adhere to the new rules in the diet or can not regularly come to medical control (as in the case of gastric banding, when it is necessary to visit a specialist twice a month).
It should be noted that according to statistics, gastroplication gives higher results in patients with a BMI of up to 40 units.
Contraindications to gastroplication
The age of the patient is under 18 years and over 60 years.
Serious diseases of the cardiovascular system, lungs.
Diseases of the esophagus, stomach, duodenum: severe esophagitis, esophageal varicose veins, gastritis, duodenitis, gastric ulcer and (or) duodenal ulcer. In the presence of these diseases, their conservative treatment is carried out first of all. Only after the chronic diseases go into a state of persistent remission, it will be possible to perform gastroplication.
Portal hypertension and / or cirrhosis of the liver.
Alcoholism, drug addiction.
If the patient is prescribed a constant intake of steroid hormonal drugs.
A chronic infection in the body.
Autoimmune diseases of the connective tissue (rheumatism, systemic lupus erythematosus, scleroderma).