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Gastric Plication surgery is one half of the Imbricated Lap-band (iLap) procedure

Gastric Plication surgery may be the most safe bariatric procedure in the world today. Remember, this is a major operation and all surgeries have some risk. You can have Gastric Plication surgery done in combination with Lap-band surgery by one of Arizona’s most experienced weight loss surgeons, Doctor Terry Simpson.  That’s right, you can have the most sophisticated and effective weight loss surgery in the world – the Imbricated Lap-band – done right here in Phoenix Arizona. 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 in the United States. Other names for Gastric Plication surgery include gastric imbrication or gastric sleeve plication.

Dr. Terry Simpson was on the team set up 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 is removed.

Gastric Plication is the perfect surgery to combine with the Lap-band

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. 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.

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. Most people will keep their weight loss surgeries. But the potential of reversibility may be a good option to have over the long run.

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