Discussion of Gastric Sleeve Plication

**Kait** · 06-14-2013 05:36 PM

Hi everyone, I am scheduled for gastric plication surgery on July 12th, 2013 with Dr. Almanza in Tijuana. I have to admit I have been having second guesses about whether I should go with the gastric plication surgery or the gastric sleeve. I am worried about Gherlin and whether or not with the plication surgery if I will be feeling hungry all the time. I like the idea of gastric plication as it is potentially reversible and a part of your stomach is not actually removed. Feeling very undecided at the moment! Has anyone else had the plication surgery and can offer me some of their own experiences with hunger?

**Kait** · 06-14-2013 05:59 PM

Hi Leesoim, I was just wondering if you could share with me more about your gastric plication. Did you loose weight at a fairly steady pace? And even though you still experience hunger, are you much more easily satisfied? Thanks! I am having a hard time deciding between plication or a sleeve!

**itsmytime** · 06-28-2013 11:54 PM

Kait. I think the plication is an "okay" surgery. There is a website called "sleeveplicationtalk.com". Please go talk to the other folks there who had the same surgery as you. Also, please read the threads already on the forum and see how well people have done. I have seen "some" success stories with it, but not that many. It looks like half of the people do good with it and half do not. Let's be honest, the weight loss doesn't look as good as with the sleeve. There are some stats out there they lose less weight and keep off less weight. It is also considered experimental by the American Society of Metabolic and Bariatric Surgery. The sleeve has more weight loss stats that show good weight loss, it is considered an established surgery by the ASMBS, and it has lots of research. The plication doesn't have enough research behind it to consider it a successful surgery in the long term. I beg you to strongly consider the sleeve instead of the plication. Removal of part of your stomach is not really that drastic. You're not going to "miss" it. You can still get scoped for cancers and ulcers, you can get chemotherapy if you ever develop cancer (I sincerely hope not), and you can get pretty much any medical treatment you need. If you do choose the plication over the sleeve, I wish you the very best. Regardless of which surgery we choose, I want you to be healthy and happy! This is not a surgery war. I just want you to be informed. Please do your research thoroughly.

**girlfromovertheborder** · 10-27-2013 12:40 AM

What insurance can we buy if problem in mexico? either sleeve or plication???

**girlfromovertheborder** · 10-27-2013 12:43 AM

two sets of stitches so must follow diet very carefully

**girlfromovertheborder** · 10-27-2013 12:48 AM

What worries me most if complications and costs associated with that. what do we do in that case???? If it turns out to be serious the doctors in mexico should at least refund money. what insurance can we get. I have read a lot of negative posts and sure worry about sleeve or plication..

**JustWantToBeHealthyAgain** · 10-27-2013 02:21 PM

Originally Posted by girlfromovertheborder

What worries me most if complications and costs associated with that. what do we do in that case???? If it turns out to be serious the doctors in mexico should at least refund money. what insurance can we get. I have read a lot of negative posts and sure worry about sleeve or plication..

That's a risk that people who go to Mexico for WLS have to deal with. Yes, if there are complications right after surgery and you're still in the Mexican hospital, the doctors will take care of it. The issue is complications that happen when you're still back home...you will be responsible for those costs if you have to go to your local ER and end up hospitalized.

The complication issue is really the main reason why I wouldn't go to another country to get the sleeve and pay out of pocket because that worries me so much. But there are ways about it. There are some insurances you can buy that will help over complications. You'll have to look around.

**reinventme** · 05-08-2014 10:41 PM

I did not consider their comments rude or offensive. I considered it a discussion of comparison. Everyone can have their own opinion and agree to disagree. There is a part of the stomach that is removed that indeed does produce a hunger hormone. I am sure that affects people to varying degrees as we are not all the same. I read about plication on dr ortiz site and wanted to see what people said that had it. The stomach is folded in on itself twice and sutured together with non disolvable stitches. My concern was that I may not be able to control myself as well with the gland still intact. Also, i had an umbilical hernia repair as a baby and the internal stitches worked their way out when i was about 5. They were supposed to use disolvable stitches but had not when i was a baby. I need to see more long term info on it . I hope to see more comments on it from plication patients...just keep the extreme emotion out of it. You can go back and edit it out.