Reconstructive Obesity Surgery, Endolumenal (ROSE)
 
Gastric bypass is one of the most common weight loss operations performed today and has helped many obese individuals. However, even the most successful gastric bypass patients occasionally regain weight. One of the potential causes can be pouch or stoma (the connection between your stomach and small intestine) dilation that can occur years after the original surgery. This may allow patients to tolerate larger portions of food during meals with eventual weight regain.

In the past, there were few treatment options to decrease the size of the pouch and stoma. Revision surgery is sometimes used, but this can be more difficult than the original gastric bypass surgery with increased complication rates due to scarring and adhesions. Many patients may decide against surgery and live with their increased weight. However, we now offer an alternative to traditional revision surgery. The ROSE Procedure (Reconstructive Obesity Surgery, Endolumenal) is a new incisionless procedure that can restore the size of the pouch and stoma to the original post-surgery dimensions.

The ROSE procedure is performed entirely through the mouth using a small flexible endoscope and surgical tools without making any external incisions on the body. The surgeon advances the scope through the mouth into the patient’s stomach pouch. The flexible scope has multiple channels that allow the surgeon to advance multiple surgical tools into the pouch. The surgeon then makes multiple folds in the stoma and pouch to reduce its overall diameter and volume. This can effectively restore the patient’s pouch and stoma to the original post surgical size.

Patients will require an initial full evaluation by the surgeon, nutritional and dietary evaluations, and an upper endoscopy to assess the stomach pouch and stoma. The ROSE procedure is typically performed as an outpatient procedure in a hospital operating room. Most patients will be discharged home the same day or in less than 23 hours. Because there are no external incisions, most patients have a very quick recovery.

The ROSE procedure offers other important advantages to patients, including a reduced risk of infections and associated complications, less post-operative pain, and no abdominal scars. Most patients will have little discomfort after the procedure, but some patients may report a sore throat for a short time. Since this is a new procedure, long-term weight loss statistics are not yet published, but preliminary data show that most patients regain the feeling of “fullness” and experience weight loss after the procedure. At Texas Center for Medical & Surgical Weight Loss, our surgeons are qualified to perform the ROSE procedure.
Please call 210-651-0303 to schedule an appointment with our surgeons to determine your eligibility for the procedure.