Gastric Sleeve Surgery Vs. Gastric Plication
Differences in BMI, Costs, Requirements, Outcomes, Side-Effects and Risks
| Procedure | Gastric Sleeve | Gastric Sleeve Plication |
|---|---|---|
| AKA | Vertical Sleeve Gastrectomy | Greater Curvature Plication (GCP), Gastroplication, Gastric Pleat |
| Price in Mexico | $3,800 | $6,500 |
| Average Price in US | $19,000 | $15,000 |
| Savings Compared to US | $15,000 | $8,500 |
| Diagram |  |
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| Method of Weight Loss | Restrictive: Reduces stomach size and hunger hormone (ghrelin) release | Restrictive: Reduces stomach size and hunger hormone (ghrelin) release |
| Stomach Alterations | Stomach size reduced | Stomach size reduced |
| Impact | 70–85% of stomach removed | Stomach size reduced through modification to be around 85% of its original size |
| Changes to Intestine | No change | No change |
| Operating time | 1–3 hours | 2 hours |
| Average Hospital Stay | 2 nights | 2 nights |
| Time off Work | 2 weeks | 2–3 weeks |
| Recovery Time | 3 weeks | 2–3 weeks |
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| Surgery Description |
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| Realistic Expectations | Patients can expect to lose 60–70% of excess weight in about 2 years. Long term results not currently available. Easily converted to Duodenal Switch or Gastric Bypass if needed. | Initial research suggests weight loss is comparable to gastric bypass surgery, about 70% excess weight loss after 12 months. |
| Post Surgery Dietary Info | Patient must:
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Patient must:
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| Realistic Expectations | Patients can expect to lose 60–70% of excess weight in about 2 years. Long term results not currently available. Easily converted to Duodenal Switch or Gastric Bypass if needed. | Initial research suggests weight loss is comparable to gastric bypass surgery, about 70% excess weight loss after 12 months. |
| Candidate Efficacy | VSG is effective for high-risk or very high BMI patients (BMI > 60 kg/m2) as a “first-stage” procedure. The complication rate is much lower than it is with the RNY Gastric Bypass or Duodenal Switch because there’s no intestinal bypass. | Good candidates fall into the lower range of the BMI curve, typically 30–40 BMI. |
The Basics: Gastric Sleeve Surgery Vs. Gastric Plication Surgery
Anybody considering gastric surgery needs to understand all the options that are open to them before making a decision. There are many factors to review when deciding what works best for you. Below, we compare two possibilities: gastric plication and gastric sleeve surgeries.
Gastric plication functions on the principal of folding the stomach into itself and using sutures, or stitches, to reduce the total volume, while gastric sleeve helps with weight loss by removing a part of your stomach and stapling the rest of it closed. Both operations carry excellent weight-loss results, including significant and sustained weight loss. The operative effect of both surgeries is to reduce the size of the stomach to a small, banana-shaped pouch without major changes to the intestine. They offer the benefits of not rerouting the intestines (like gastric bypass or duodenal switch) or leaving an implanted device within your body.
Although gastric plication surgery is relatively new, it is most similar in effect to gastric sleeve surgery. Generally speaking, most people view gastric plication as less invasive, although it does come with its own set of concerns. It is also considered potentially reversible, like lap band, although there is some contention around that. Unfortunately, gastric plication does have less short-term weight loss and generally poses a higher risk of post-operation nausea or vomiting.
Going with the gastric sleeve should result in few negative side effects and prove to be a simple procedure. It’s effect is apparent in how it reduces the production of the hunger hormone ghrelin. However, having the surgery involves a big investment, and data is still being collected on this relatively new method.
Questions? We’re here to help!
We hope you find the information above useful as you consider your options for surgery. At MedicalMex our exceptional surgeons and case managers are always on hand to help and guide you through your choice. Do not hesitate to contact us if you have further questions.
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