ROSE (Restorative Obesity Surgery, Endoluminal) Procedure in Louisiana
Although laparoscopic gastric bypass surgery is successful in achieving weight loss, some patients start to regain weight a
few years after surgery. The stomach pouch and stoma (the connection to your small intestine) created during the
Roux-en-Y
gastric bypass procedure may have gradually stretched out over time allowing you to eat
more because you feel less full during meals. Because the stretched stomach pouch and stoma allows patients to eat more,
the result is gradual weight regain.
If you regained a portion of the weight you originally lost after your gastric bypass and feel less full after meals, you may
be a candidate for the new ROSE (Restorative Obesity Surgery, Endoluminal) procedure that helps restore gastric bypass
patients’ stoma and pouch to the original post bypass surgery proportions, limiting food intake. To determine your eligibility,
we will perform an initial screening followed by a series of evaluations including nutritional and dietary counseling, a full
medical exam and endoscopy. Contact us for a free insurance
verification.
The ROSE procedure is performed under anesthesia using a small flexible endoscope – a video camera so that the surgeon can
view the operative site on a nearby video monitor – and a four-channel tube created specifically for
incisionless procedures. Our surgeons perform the ROSE Procedure entirely through the mouth without making
any external incisions into the body. The surgeon advances the flexible tube and a small endoscope through the patient’s mouth,
into the stomach pouch. The surgeon will then insert the surgical tools through the channels of the tube. Uniquely shaped
sutures called anchors are used to create multiple tissue folds around the stoma to reduce the diameter. The surgeon will then
use the same technique to place anchors in the stomach pouch to reduce its volume capacity.
The recovery period after the ROSE procedure is minimal. This is an outpatient procedure and you should be able to go home
on the same day and return to normal activity within a few days of the procedure. You will be required to follow a
post-procedure diet and exercise plan, similar to the regimen prescribed following your initial bypass surgery. This
generally means that patients will need to consume only liquids for a few days after the surgery, and then slowly add soft,
pureed foods for a few weeks before resuming a regular diet. To help you on your journey, follow-up appointments with your
doctor and regular visits with our bariatric support staff will be required.
ROSE Procedure Results
As with any weight loss procedure, results vary with each patient. Initial findings indicate that the ROSE procedure has
been well tolerated and most patients immediately lose weight as they eat less. The feeling of fullness returns due to the
restriction of the new, smaller pouch or stoma. The ROSE procedure is new and long-term data is not yet available.
Since the ROSE procedure is incisionless, the overall risks are much lower than with traditional surgery. Some important
advantages to the patient include:
- Reduced risk of infection and associated complications
- Less post-operative pain
- Faster recovery time
- Ability to offer this as an outpatient procedure (no overnight hospital stay)
- Absence of abdominal scars
Potential Patient Concerns
- As with any surgery there is risk involved. The less invasive approach, however, should reduce the likelihood of many of
the complications associated with the other open or laparoscopic revision procedures.
- It is anticipated that patients will feel little or no discomfort from the procedure. To date, the only noted side
effects have been sore throat, swollen tongue and short-term lip pain from the insertion of the endoscopic instruments
into the mouth. These issues usually go away in one or two days.