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POSE Incisionless Weight Loss Surgery

POSE bariatric procedureA new groundbreaking incisionless bariatric procedure known as POSE (Primary Obesity Surgery, Endolumenal) is now available at some bariatric facilities across the United States. The POSE procedure reduces the size of your stomach without making a single incision into the body by utilizing special tools that access the stomach through the mouth and esophagus.

How the POSE Procedure Works

The POSE procedure does not require incisions to reduce the size of the stomach and it is considered much safer than other surgical bariatric options and is pain-free. There has been almost no complications to date and most patients are able to go back to work within a couple of days.

POSE does not require cutting like gastric bypass and the gastric sleeve or a medical implant like the LAP-BAND or REALIZE Band, yet similar results have been achieved.

To perform the operation, surgeons use a special set of endoscopic surgery tools manufactured by USGI known as the Incisionless Operating Platform (IOP), formerly known as the EndoSurgical Operating System (EOS), and a flexible endoscope that is used to visualize the stomach. Patients are put under anesthesia for the procedure. Then, a long, flexible tube that is created specifically for incisionless procedures is inserted through the mouth and into the stomach. The tools are maneuvered into the stomach through the tube.

Once in the stomach, the specialized tools grab hold of stomach tissue, create folds with the tissue, and deploy specially designed suture anchors that fasten the folds together. Through the creation of the tissue folds, it shrinks the size of the stomach pouch and the connection to the small intestine.

The IOP device manufactured by USGI is also used to perform the ROSE (Restorative Obesity Surgery Endoluminal) procedure.The ROSE procedure is a revision for gastric bypass patients with weight regain. The ROSE procedure restores the size of the stoma and pouch to post-surgical dimensions.

What is recovery like after the POSE procedure?POSE incisionless bariatric surgery

Most patients should be able to return to work within a few days to a week, depending on the nature of their work. However, at first, you may experience a sore throat, bloating and some nausea, which should settle quickly. Following this procedure, you will be restricted to a liquid only diet for the first 2 days i.e.: water, juice, milk, thin soup etc and then gradually returning to a normal diet over a short period of time. Gradually, your ability to tolerate most types of food should improve, although the volume of food you are able to consume should be considerably reduced. Your bariatric consultant surgeon and his team, which include specialist bariatric nurses and dietitians will support you through this process and your treatment includes 6 - 8 follow up appointments with them.

What risks are associated with POSE?

You should be aware that the procedure can cause temporary sore throat and nausea. All surgical procedures, no matter how expertly or carefully they are performed, carry risks and the importance of a full evaluation and consultation to discuss your understanding and expectations in relation to these risks cannot be over emphasised. Your consultant surgeon will spend plenty of time with you discussing these aspects of your treatment.

How do I find out if I am a suitable candidate for POSE?

The weight loss team will first carry out a full evaluation of your individual needs and circumstances and provide you with a comprehensive verbal and written explanation of any recommended treatment. This procedure is generally offered to patients seeking weight loss surgery who have a BMI between 28 and 40. Patients are assessed on an individual basis but this procedure may not be suitable for people that have already had complicated upper abdominal surgery.

Results of the POSE Bariatric Procedure

Over the past year, a select group of patients have participated in a clinical date registry to evaluate the POSE procedure. Patients enrolled in the trial have applauded the procedure, citing a dramatic decrease in hunger and stomach capacity which has helped them achieve substantial weight loss.

Only a few bariatric centers were chosen to participate in the trials, including: Bluegrass Bariatric Surgical Associates at Central Baptist Hospital; Surgical Specialists of Louisiana; Southeast Bariatrics at Presbyterian Hospital in North Carolina.

Like any other bariatric weight-loss treatment, such as LapBand and Roux-en-Y, POSE is not a stand-alone cure for obesity. Successful long-term weight loss requires sustained lifestyle and diet changes. But given the extent of the obesity epidemic in the U.S. and indeed worldwide, new techniques like POSE and another new incisionless operation called ROSE (Restorative Obesity Surgery, Endolumenal) do offer more and safer opportunities for overweight people to jump start a new approach to regaining their health.