Incisionless stomach surgery for weight loss
POSE is currently considered investigational for weight loss and performed at only a few select locations around the United States. We now offer qualified patients an endoscopic procedure that can reduce the volume of an enlarged pouch and the diameter of the outlet. Sutures are then placed around the outlet to help reduce the diameter, typically from the size of a silver dollar to the size of a dime. The POSE procedure is a type of weight loss surgery that restricts eating and reduces hunger by reducing the size and capacity of the stomach by folding and anchoring the stomach tissue. Patients Who Regain Weight After Their Initial Weight Loss Surgery May Now Have Options. Over time, the stomach pouch or the outlet that connects it to the small intestine can stretch. Primary Obesity Surgery Endoluminal, or POSE procedure, is an endoscopic incisionless weight loss procedure that reduces the size of the stomach and helps to diminish hunger cravings. The scope and suturing devices are inserted through the mouth into the stomach pouch the same way as a standard endoscope. The IOP and endoscope are passed through the mouth and into the stomach. Have you started to regain weight after initial success from weight loss surgery.
Several studies suggest that some patients regain significant weight after weight loss surgery. The POSE procedure is primarily designed for patients who want to lose between 25 and 60 or 70 pounds, rather than standard bariatric surgery patients who need to lose 100 pounds or more. The multiple folds of stomach tissue created by the POSE procedure effectively reduce the size and capacity of the stomach to limit food intake and diminish hunger cravings. To perform POSE, doctors use the Incisionless Operating Platform (IOP), a specialized set of endoscopic surgery tools developed by USGI Medical for incisionless gastrointestinal procedures, and an endoscope (flexible tube with a small camera on the end) to visualize the stomach. It is generally an outpatient procedure (about 1 hour), with most patients making a quick return to normal activities (only a few days to a week, depending on the individual). Once in the stomach, the IOP tools are used to grasp, fold, and fasten together sections of stomach tissue. As a result, patients may begin to regain weight. The procedure is performed entirely through the mouth and does not require any external cuts into the body. We now offer a safe and effective endoscopic procedure that can reduce your enlarged pouch and outlet to their original post-operative proportions. A possible cause includes gradual stretching of the stomach pouch or outlet. Advocates of the procedure say the POSE procedure may be an ideal solution for people with excess weight who have not had success with diet and exercise and who do not qualify or do not want to undergo a more extensive type of bariatric surgery. As a result, patients can eat more food before feeling full. This procedure is performed using a small flexible endoscope and specialized devices that allow sutures to be placed through the endoscope.
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