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DR M TALEBPOUR. 1974: Animal lab, 2002: Tehran, Plication 2002: Modification of plication: Ant plication Total plication Wrap and Plication 2005: SAGES:

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Presentation on theme: "DR M TALEBPOUR. 1974: Animal lab, 2002: Tehran, Plication 2002: Modification of plication: Ant plication Total plication Wrap and Plication 2005: SAGES:"— Presentation transcript:

1 DR M TALEBPOUR

2 1974: Animal lab, 2002: Tehran, Plication 2002: Modification of plication: Ant plication Total plication Wrap and Plication 2005: SAGES: The first presentation of plication 2006: Saudi Arabi, Lebonen 2007: The first paper of plication 2007: Brezil 2010: Italy

3 Mutivation: Excelent: Plication Moderate (Male, BMI>50, Diabet): Gastric bypass Weak: Ileojejunal bypass

4 Greater curvature release by ligasure Separation of anterior row of SG Inversion of released GC by nylon Length of plication from cardia to 4 cm to pylorus Submucosal sutures

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12 No 1: Liquids, 10 days No 2: Semi liquids, 10 days No 3: Soft diet, 10 days No 4: Normal diet, 5 months

13 Dilation of gastric volume 60% EWL 6 months 75% EWL 12 months Inversion of sutures in the stomach after 4 years

14 Leakage at suture site Stricture Bleeding Loosening of suture line

15 Replication Sleeve gastrectomy Ileojejunal bypass Gastrojejunal bypass

16 Ghrelin Total gastric volume Appetite and gastric volume


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