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Lap Band with Plication anyone ??



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Hey everyone! Just have a question. I am in the process of having my surgery. I was in to the office on Monday and my Dr. was talking to me about bariatric options that I have. I told him I was interested in the Lap Band. He then proceeded to tell me about a fairly new procedure he is doing called "Lap Band with Plication". The way he explained it, it is similar to the lap band but underneath the band, the stomach is sort of folded in half. He states the benefits of this is to prevent band slippage, and also he feels this prevents as many fills needed by the patient to reach their "sweet spot". I've googled this to try and read up on it, but am not really getting anywhere to research. The only thing I'm finding is the Gastric Sleeve procedure which isn't the same thing. Just wondering if anyone has heard of this or even had it done and what are your thoughts or results?

Thanks in advance!

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I had the band with plication procedure done 6 weeks ago. I am very happy that I went that route. My doc put 4 CC's fill in on the day of surgery. I have had 2 post op appointments and the nurse practicioner has not seen any need to do another fill yet. Small portions are filling me up and lasting 4-5 hours. I know it is still early, but My weight loss has been steady and I am very happy with the results so far.My ticker shows that I have lost 45 pounds so far. That is including my pre-surgery loss too preparing for the big day. But my loss since surgery has averaged about 3 pounds a week. Like yours, my doc said that adding the plication has seemed to show faster weight loss and sustained results so far. I do know that I am not eating much more than 800 calories a day and am quite satisfied. I have had no sickness at all (knock on wood), no episodes of food getting stuck, or any other complications thus far and I am more active than I am supposed to be at this point. I was up on the day of surgery in the recovery room walking around and doing so well that my doc let me leave on the day of surgery. And by the way, the 3 pounds a week loss since surgery is pretty good because I only weigh 208 now, so for that weight, I am happy with 3 per week.

Good luck with your decision. You are right, though, there isnt a whole lot of information about it on the web. I think it gives you the benefits of the sleeve without the complications of malabsorption and there is no cutting of your organs involved.

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I brought the LB w/ Plication up to my Surgeons assistant and she didn't even know what it was. I will Jane to tell her more.... My Q is:

When they fold the stomach in half how is it held, sutures?

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Yes, it is held with sutures. I am only 7 days out postop but I know that I am glad I had this done.

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I had my surgery at a Center of Excellence and have read articles that relate to the advantages and good results of the band with plication. I am sure there are times when problems arise and it is a fairly new procedure, but that is the case with any surgery including wls. I am happy with my surgery and would recommend it to anyone who asked.

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