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Some gastric bypass patients
see a weight gain after 3-5
years due to an enlarged
stomach pouch or an increase
in the size of the stoma
(the opening at the bottom
of the stomach pouch). This
results in a reduced ability
to feel full after small
meals.
In the past revision surgery
to reduce the size of the
pouch or stoma meant a
longer surgery with a higher
rate of complications than
the original bypass surgery.
Today there are new,
non-surgical options to
reduce the size of the pouch
and stoma. Both of these
procedures involve the use
of an endoscope which is
inserted into the stomach
via the mouth while the
patient is under heavy
sedation.
The procedures typically
take less than an hour and
because there are no
incisions, patients can
return home the same day
after a short recovery and
observation period.
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The ROSE Procedure -
Restorative Obesity Surgery,
Endoscopic
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The ROSE procedure is
performed using a small
flexible endoscope and a new
EndoSurgical Operating
System (EOS). The scope and
the EOS instruments are
inserted through the mouth
into the stomach pouch the
same way as a standard
endoscope. Tissue anchors
are used to create multiple,
circumferential tissue folds
around the stoma to reduce
the diameter, typically to
about 10mm. The surgeon will
then use the same technique
to place anchors in the
stomach pouch to reduce its
volume capacity. After the
procedure the patient will
enter the institution’s
standard bariatric surgery
follow-up program of
nutritional counseling and
exercise, similar to the one
prescribed after their
original gastric bypass
surgery.
Physicians offering the ROSE
Procedure at St. Francis
Hospital: |
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StomaphyX TM
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StomaphyX is a new
transoral device.
StomaphyX is
introduced into the
body, not through an
incision, but
through a natural
body orifice, the
mouth. The procedure
is performed under
visualization by an
endoscope inserted
down the central
shaft of the
StomaphyX. Once
inside the stomach,
a small section of
the stomach wall is
suctioned up into
the device and
fastened with a
suture-like fastener
creating a fold
called a plication
(See enclosed
picture). As many as
10-20 plications may
be created depending
on the needs of the
patient.
Click to view
animation.
Physicians offering
the StomaphyX
Procedure at St.
Francis Hospital:
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