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Revision
We have a large experience with successful revisional surgery for patients who regain weight following bariatric surgery. Interested patients should arrange an appointment for a consultation to determine the optimal individualized procedure. We have performed over 500 laparoscopic revisions to reduce gastric pouch and stoma size, add malabsorption and place the adjustable band over bypass. We are also pleased to offer completely endoscopic revisions including the Rose Procedure. Patients who are regaining weight or considering revisional surgery should click here.
Rose Procedure (Endoscopic Revision)
Some people have an anatomic reason for regaining weight. If your pouch has stretched or if the opening from your pouch to your intestine has stretched, then you have lost the restriction that allows you to get full on the correct size portion of food. Portion control is one of the most important tools that your gastric bypass should give you and if it is taking more and more food to fill you up, then something may have stretched. How did it stretch? We don’t know for sure but we believe that overeating over time may have caused this. Even though we make the gastric pouch out of the thickest, less stretchable part of the stomach wall, some dilation can still occur.
 Fortunately, there is a new endoscopic (incisionless) technique available to tighten up you pouch and opening. It is called the ROSE procedure and it has already helped many other patients around the country to get back on track by giving them back the restriction necessary to succeed. Are you a candidate for the endoscopic ROSE procedure? Are you putting on weight since your gastric bypass? Does it take more than one half of a sandwich or a portion the size of your fist to fill you up? If so, then you might be. We would need to evaluate you both in the office and perform and endoscopy to measure the size of your pouch and opening.
At this time, insurance does not cover the procedure but it is a lot less expensive than revisional surgery and financing is available. It is outpatient, involves no incisions and very safe and short term results have demonstrated significant weight loss. For more information, see the ROSE procedure at www.usgimedical.com and click on the box marked “spotlight”. Please contact our office to arrange for an evaluation and begin the process.
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