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Can someone have it reversed? Is it like the lap band that you can take out if

something goes wrong?

The surgeons who are doing it , or their reps at least, make it sound very non

invasive and easily reversible. I wonder why the top surgeons are not doing it.

Comments please, bipley?

Carmen

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The better surgeons aren't doing plication for ethical reasons.  Really, if you look at who is doing plication it's the bottom feeder surgeons.  If you'll note the bottom feeder surgeons are doing plication and Mini Gastric Bypass.  The better surgeons wouldn't touch either with a 10' pole.  MGB is nothing short of dangerous, that's why it's not done anymore.  Technically, MGB is easier to do than bypass so it's not a skill level that is at issue.  Doctors just won't do it because it's not in the best interest of patients.  Same thing holds true for plication.  It's easier to do than a sleeve but it's not ethical to do to a patient.  It really can't be reversed easily at all. It would be extremely dangerous to try and reverse or revise to anything.  Another problem is that reflux is pretty significant with plication.  If meds don't resolve it, what can you do?  You can't bank on reversing plication so there is little to do to fix it.

You know, with banding and plication and even in some cases the sleeve, bypass, and DS... with all the reflux people get (mostly bands and plication) I really do question what esophageal cancer stats will be in the future.  With all the reflux that leads to Barretts esophagus and Barretts esophagus leads to esophageal cancer.  Kinda.  Well, the risk of esophageal cancer is higher if someone has Barretts.  I question what the difference will be for the standard population compared to banders and plication people.

The stomach is far easier to stretch with plication, reflux is bad, very few options for revision, and something I need to ask Dr. A someday is about ulcers.  How would you scope someone if they had stomach problems?  Most of the stomach is folded over and sewn shut then engulfed in scarring.  It would still be producing stomach acid so how would one cut down on the acid and view the stomach?

Oh, long term stats do not exist with plication.  In the world of WLS 5 years is considered long term.  The only study I have found on plication is 18 months and that didn't look all too great.  I really can't think of a single reason to get plication over a sleeve.  They still be over producing Ghrelin, the hunger causing hormone so their hunger won't change, just their stomach acid. ;o)

On Tue, Jan 11, 2011 at 11:44 AM, carmen_79@... <carmen_79@...> wrote:

 

Can someone have it reversed? Is it like the lap band that you can take out if something goes wrong?

The surgeons who are doing it , or their reps at least, make it sound very non invasive and easily reversible. I wonder why the top surgeons are not doing it. Comments please, bipley?

Carmen

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