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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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to view animation |
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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.
Physicians offering the StomaphyX Procedure at St.
Francis Hospital:
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Revision Surgery |
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Bariatric (or weight loss) surgery has been performed
for many years. Unlike the gastric bypass and adjustable
gastric banding (LAP-BAND), a number of operations were
performed with only short-term success or significant
complications. Some examples of these operations include
VBG (vertical banded gastroplasty) and nonadjustable
gastric bands.
The surgeons at St. Francis Hospital perform revisions,
either open or laparoscopically, on individuals who are
having complications from their previous weight loss
surgery. Indications for revisions are:
- Persistent vomiting
- Persistent nausea
- Pain
Physicians offering Revision Surgery at St. Francis
Hospital:
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