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The abdominal surgeon decreases the stomach capacity using a laparoscopic surgical technique through several small incisions of 0.5-1.5 cm. The surgery is done by inverting and suturing the patient&#039;s greater curve to create a narrow tube. This way, the stomach volume is reduced by approximately 65-70% while preserving its entirety.\u003C\u002Fp>\u003Cp>After surgery, the feeling of hunger is significantly reduced, and the patient gets full by eating less. Laparoscopic gastric plication reduces the stomach size and helps foster healthier eating habits. Following your doctor&#039;s recommendations, losing up to 40-60% of overweight is possible in the first two years after the operation.\u003C\u002Fp>\u003Ch3>Who can get laparoscopic gastric plication?\u003C\u002Fh3>\u003Cp>Gastric plication is recommended for people who suffer from obesity with a body mass index (BMI) above 35. This operation is performed when previously applied conservative measures, such as diets and exercise, have not yielded the desired results.\u003C\u002Fp>\u003Cp>This surgical procedure is minimally invasive and brings positive changes in eating habits, health condition, and overall well-being. People who are obese have a higher risk of developing illnesses like stroke, type 2 diabetes, cardiovascular diseases, sleep apnea, and reflux. Many overweight people also suffer from high blood pressure and dangerously high cholesterol.\u003C\u002Fp>\u003Ch3>How to prepare for surgery?\u003C\u002Fh3>\u003Cp>A broad physical assessment should be performed in preparation for laparoscopic gastric plication, including a general blood test, a biochemical blood test (potassium, sodium, creatinine, glycemia, CRB, albumin), a liver function test, fractionated cholesterol test, glycosylated hemoglobin, blood coagulation readings (SPA, DATL, INR), micronutrients (calcium, iron) and vitamins (folic acid, vitamin B12, 25 -OH vitamin D). An electrocardiogram should be done for all patients. Other non-invasive heart tests are prescribed based on individual risk factors, medical history, and physical examination data. We also recommended consulting an endocrinologist. Besides, gastroscopy and Helicobacter pylori bacteria testing is required, with eradication and treatment of ulcers and polyps in case of a positive test.\u003C\u002Fp>\u003Cp>As the operation approaches, the patient should visit a nutritionist. Based on the patient&#039;s condition, they will suggest an individual diet. It may be necessary to adjust eating habits by including more vegetables, lean meat, or fish and reducing the number of calories.\u003C\u002Fp>\u003Cp>About a month before the operation, it is recommended to refrain from alcohol, tobacco, and caffeine.\u003C\u002Fp>\u003Ch3>How is the procedure performed?\u003C\u002Fh3>\u003Cp>Gastric plication is performed under general anesthesia so the patient does not feel pain or discomfort. The operation employs new-generation technologies: a modern laparoscope with an integrated high-definition video camera and other specialized instruments.\u003C\u002Fp>\u003Cp>Typically, 5-6 small incisions of up to 5-20 mm are done in the abdominal area to insert the camera and surgical instruments into the abdominal cavity. The stomach walls are sutured to form a narrow tube and reduce its volume.\u003C\u002Fp>\u003Cp>It is a safe procedure performed without any trauma to the surrounding tissues. If necessary, the sutures can be dismantled, and the stomach returned to its original form.\u003C\u002Fp>",{"youtube_url":409,"id":410,"type":411},"https:\u002F\u002Fwww.youtube.com\u002Fembed\u002FLJzbHPTwrS4","lfgsk5qj","video",{"type":406,"text":413},"\u003Cp>\u003C\u002Fp>\u003Ch3>Postoperative period and healing\u003C\u002Fh3>\u003Cp>Usually, after gastric plication (folding) surgery, the patient goes home on the second postoperative day. Before leaving the clinic, the patient has an appointment with a nutritionist to arrange their diet after surgery. The results and the healing process directly depend on how carefully these instructions are followed.\u003C\u002Fp>\u003Cp>Gastric plication is a minimally invasive operation, so the skin incisions made during it will heal within a couple of weeks. During this time, it is essential to drink plenty of fluids, be careful while moving, avoid strenuous physical activity, and stay in a resting regime. After that, it is possible to return to normal activities gradually.\u003C\u002Fp>\u003Cp>\u003Cstrong>Scarring\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>We use innovative laparoscope technology to perform gastric plication in a minimally invasive way. So it doesn&#039;t cause trauma to the surrounding tissues. Therefore, only narrow, tiny scars remain after the operation. They fade quickly and become practically invisible.\u003C\u002Fp>",[415],{"featured_image":416,"role":422,"slug":423,"category_term":424,"uri":425,"id":426,"title":427,"url":425,"permalink":428,"api_url":429},{"id":417,"url":418,"permalink":419,"api_url":420,"alt":50,"width":421,"height":421,"alt_en":50},"assets::dsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg","\u002Fassets\u002Fdsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fdsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fdsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg",2000,"Prof. dr. Abdominal, Bariatric Surgeon","zilvinas-dambrauskas",{"title":50,"slug":50},"\u002Fdoctors\u002Fabdominal-surgery\u002Fzilvinas-dambrauskas","62b553f7-a9d4-405b-895c-233fdb00dd13","Žilvinas Dambrauskas","https:\u002F\u002Fficlinica.com\u002Fdoctors\u002Fabdominal-surgery\u002Fzilvinas-dambrauskas","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fdoctors\u002Fentries\u002F62b553f7-a9d4-405b-895c-233fdb00dd13",[431,436,440,444,448,452,456,460,464,468,472,476],{"title":432,"content":433,"id":434,"type":435},"What is the cost of the operation?","The surgery price is almost 5500 Euro on average.","7p5lB7u0","item",{"title":437,"content":438,"id":439,"type":435},"How long does the operation take?","On average, the operation takes 2-3 hours, including the work of anesthesiologists, patient preparation, and other relevant procedures.","DYlrWOjc",{"title":441,"content":442,"id":443,"type":435},"Is surgery required in all cases?","When conservative weight control measures, like diets and physical activity, are sufficient, surgery will not be necessary.","EuRtzWgM",{"title":445,"content":446,"id":447,"type":435},"How long does the result last?","Gastric plication is performed for long-term results. When all the doctor's recommendations are followed after the operation, the patient gets full faster, their weight drops rapidly, and stomach plication will not need to be repeated.\n\nHowever, long-term studies show that the probability of weight regain after this operation may be higher than after peripheral gastric resection or gastric bypass surgery. This may be influenced by the relaxation of the gastric sutures, causing an increase in the volume of the formed tube.\n\nIt is important to have realistic expectations and remember that the result of the operation will depend highly on the patient's lifestyle after the procedure, including diet and physical activity.","Xd0FHPvP",{"title":449,"content":450,"id":451,"type":435},"What dietary requirements should I follow after surgery?","The main principles should be:\n• Eat food slowly and in small portions.\n• Chop food into small pieces and chew well.\n• Drink enough water, tea, or other liquids 20 – 30 minutes after your meal. Do not drink during meals.\n• Avoid fatty, fried, or roasted food. Refrain from sugar.\n• Choose healthily prepared, steamed, boiled, or stewed dishes.\n• We recommend our patients take supplements with a higher amount of B group vitamins, folic acid, micronutrients, vitamin D, and calcium.","4xfwX38m",{"title":453,"content":454,"id":455,"type":435},"Can there be complications after gastric plication?","It is a surgical procedure performed under general anesthesia, so a small risk of complications remains. In some cases, the disintegration of gastric sutures, internal bleeding, clot formation, infection, or chronic pain can occur (3-5% of operated patients). The most common late complication of vertical gastric resection is gastroesophageal reflux. As many as 20-30 percent of patients develop symptoms of gastroesophageal reflux within five years after surgery and have to use acid-reducing medications regularly.\n\nHowever, when the operation is performed by experienced abdominal surgeons, the probability of complications is extremely low. If you follow the doctor's instructions carefully, you should not be worried.","25g906Pi",{"title":457,"content":458,"id":459,"type":435},"Will there be visible scars on the abdomen after surgery?","With attentive care of the surgical site, the scars left after the incision are minimal. Eventually, they fade and become practically invisible.","ldyjeqjo",{"title":461,"content":462,"id":463,"type":435},"Is it allowed to engage in active physical activity after surgery?","Avoid active physical activity or sports in the first months after gastric plication, as it can complicate the healing process. You can return to usual physical activity once the surgical site has fully healed, approximately eight weeks after surgery.","ldyjf1iy",{"title":465,"content":466,"id":467,"type":435},"Is the surgery painful?","Laparoscopic gastric plication takes place under general anesthesia, so you will not feel pain or discomfort.","ldyjfabg",{"title":469,"content":470,"id":471,"type":435},"What to expect after surgery?","For the first few days after the operation, you may feel the pain of varying intensity, a sense of stretching, nausea and vomiting, general fatigue, mood swings, and dry skin. These are normal sensations as the body adapts to the changes.\n\nIf the discomfort is severe, take pain medication prescribed by the doctor.","ldyjfhhm",{"title":473,"content":474,"id":475,"type":435},"How much time should I stay in the hospital after surgery?","Most cases, patients can go home within 2-3 days after surgery.","ldyjfqz6",{"title":477,"content":478,"id":479,"type":435},"How long does it take to heal?","Laparoscopic gastric plication is a minimally invasive procedure, so recovery is relatively short and uncomplicated, lasting for about 6-8 weeks.","ldyjg160","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fcp\u002Fcollections\u002Fservices\u002Fentries\u002Fd6acb764-3ede-4ea1-adc8-6608c78ac45e",false,{"id":483,"url":484,"permalink":485,"api_url":486,"alt":50,"width":388,"height":389,"alt_en":50},"assets::bariatrija.jpg","\u002Fassets\u002Fbariatrija.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fbariatrija.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fbariatrija.jpg",{"id":296,"url":297,"permalink":298,"api_url":299,"alt":50,"width":244,"height":245,"alt_en":50},{"value":489,"label":490,"key":489},"primary","Primary","d6acb764-3ede-4ea1-adc8-6608c78ac45e",true,[494,498],{"title":495,"answer":496,"id":497,"type":435},"Duration of the surgery","2-3 hours","WLNvnK9r",{"title":499,"answer":500,"id":501,"type":435},"Anaesthesia","General anaesthesia","HTPe7xxW","2023-03-20T12:20:48.000000Z","en","Laparoskopinė skrandžio plikacija – chirurginė procedūra, atliekama žmonėms, kenčiantiems nuo nutukimo.","Laparoskopinė skrandžio plikacija",126,"873fcd7d-368a-47b0-be6b-0933fa375329","https:\u002F\u002Fficlinica.com\u002Fservices\u002Fbariatrics\u002Flaparoscopic-gastric-plication","From 5500 €","Two nights in the clinic, meals, blood tests, anesthesia, postoperative care, personal hygiene products, medication, consultation with a nutritionist.",[],"laparoscopic-gastric-plication","published","Laparoscopic gastric plication","\u002Fservices\u002Fbariatrics\u002Flaparoscopic-gastric-plication",{"lt":517,"lt-LT":517,"en":515,"en-US":515},"\u002Fpaslaugos\u002Fbariatrija\u002Flaparoskopine-skrandzio-plikacija",[519],{"uri":300,"id":294,"title":292,"url":300,"permalink":520,"api_url":521},"https:\u002F\u002Fficlinica.com\u002Fservices\u002Fbariatrics","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fservices\u002Fentries\u002Fef55df5b-3887-4fd7-989c-141ea5713c94",[],[524,528,532,534],{"id":525,"title":526,"price":527,"pre_price":50,"is_from":481},"e0e5e88f-072e-416c-9401-1d8fe938db57","Consultation","70",{"id":529,"title":530,"price":531,"pre_price":50,"is_from":492},"89025e7c-f4f6-4156-b4be-41867c03e9ed","Laparoscopic gastric bypass surgery","5500",{"id":533,"title":514,"price":531,"pre_price":50,"is_from":492},"6595471b-ad46-4d5c-9690-faecb815bbf0",{"id":535,"title":536,"price":531,"pre_price":50,"is_from":492},"5f33398c-9475-4984-86f9-b2be3c9a72be","Laparoscopic sleeve gastrectomy","What is laparoscopic gastric plication?Laparoscopic gastric plication is a surgical procedure performed on people ...",1790882826609]