ROSE - Data Shows Incisionless Procedure Reverses Weight Gain

CoachRoz
on 7/11/09 2:16 pm
As a public service announcement, I'm posting this news story regarding data presented on the effectiveness of ROSE, revision weight loss surgery... I also invite you to join the member group - Beat Weight Regain with ROSE (search groups - ROSE)

Newswise — Patients who have regained weight after gastric bypass surgery now have access to an incisionless procedure that appears highly effective at reversing weight gain, according to data presented at the annual meeting of the American Society of Metabolic and Bariatric Surgeons. Santiago Horgan, MD, professor of surgery and director of the Center for the Treatment of Obesity at UC San Diego, presented six-month outcomes from a national registry of 116 patients who underwent the procedure, known as ROSE (Restorative Obesity Surgery, Endolumenal).

“We believe this registry represents the largest collection of data showing the effectiveness, safety and durability of the ROSE procedure," said Horgan. “There are not many options to repair a failing gastric bypass. Invasive procedures to restore the anatomy are complicated and risky for most patients. In comparison, there were no significant complications associated with ROSE and most of the patients lost clinically relevant amounts of weight."

To perform ROSE, a small, flexible endoscope and tools are inserted through the mouth, down the esophagus, and into the stomach pouch during an outpatient procedure. The tools, developed by USGI Medical Inc., are used to grasp, fold and stitch tissue to reduce both the diameter of the stomach opening and the volume of the stomach pouch. No cuts are made into the patient’s skin.

The registry data showed that 88 percent of the patients stopped regaining weight after ROSE. Overall, these 96 patients lost an average 18 percent of their excess weight six months after the procedure. For the purposes of the registry, excess body weight is defined as anything over a body mass index rating of 25.

One patient in the study lost 66 pounds or 84 percent of her excess weight during that six-month time period. Patients who were most successful losing weight after their original gastric bypass had the best results following the ROSE procedure. This subset of patients dropped 29 percent of their excess weight during the six months after ROSE.

Up to 50 percent of patients who undergo gastric bypass surgery begin to regain weight after two years. This often occurs because the stomach pouch and stoma, the opening to the small intestine, slowly stretch out, allowing the patient to eat more without feeling full.

 

 

Coach Roz Harris,
Beat Weight Regain w. ROSE Member Group Leader

smcgee
on 7/14/09 9:47 am - Columbia , SC
What do you have to do to have this procedure done, I am almost two years out and have "already" started regaining weight.................
Sheila

Life is what you make it
Sheila

(deactivated member)
on 7/16/09 3:31 am - San Diego, CA
Contact a local surgeon that performs this procedure and pay between $14,000 - $17,000 (that is what I was quoted).  After extensive research, I declined this procedure due to lack of sufficient results of success in patients (pretty much nil).   I was not ready to be a guinea pig and risk it not working for me.  So I opted to have a lap-band placed over my gastric bypass on 5/29/09.  I have lost 22 lbs thus far...of the 40 I had gained back.  My research concluded that it has a stellar success rate.

There are also a lot of other types of "revision" surgeries that have a great success rate too.  Be sure to do your research.

Good luck to you! :)
smcgee
on 7/16/09 8:42 am - Columbia , SC
Thanks, I am not understanding why the original surgery is not working??????

Sheila

Life is what you make it
Sheila

(deactivated member)
on 7/16/09 4:21 pm - San Diego, CA
Trust me, I feel your pain!  For me, however, I know it was my fault and I have to totally own it.  I clearly did not stick to the script when it comes to the RNY rules.  I stretched out my pouch and stoma by overeating, drinking carbonation, you name it.  UGH...I can't believe I did that to myself after losing so much weight and keeping it off for 5 years!!

HUGE regrets, but I have my mind right this time through specialized counseling for food addictions so I am ready to get thin and stay thin this time around!!  I welcome the challenge. :)
mysticalprincess726
on 7/18/09 11:31 am - lakewood, WA
Did your insurance cover your lapband? I had the lap gastric done 7/2002. at my heighest I weighed 260, my lowest was 150, I got pregnant and gained 30 pounds. I lost about 20 or so...now 3 yrs after my son's birth Im at 197...thats 7 pounds over what I weighed at 9 months pregnant. and trying to look into having a revision. How was your journey towards a revision? I feel so bad that I have let myself down again.
(deactivated member)
on 7/20/09 2:50 pm - San Diego, CA
You sound very similar to my stats!!  Feel free to read my blog and see below message.  No, insurance did not cover it.  I was a self-pay for original and revision procedures. :)
MARTHA C.
on 7/20/09 5:41 am
Hi Lisa My name is Martha and I had RNY in oct of 2003 lost 140 and now have gained 38 lbs. How much did the revision cost? and where did you have it done? Do you think it was worth it?
(deactivated member)
on 7/20/09 2:48 pm - San Diego, CA
Hi Martha,

My insurance did not cover the revision (I was also a self-pay for my original RNY) and I went to Tijuana, MX to a very reputable surgeon that specializes in Lap-Band, RNY & Sleeve procedures.  The total package was $11,500.00 whi*****luded a stay in a nice hotel the night before surgery, they pick you up at the airport in San Diego, drive you into MX directly to the hotel where the clinic manager meets you.  SHe checked me in and got me settled then escorted me to the clinic which is connected to the hotel in another tower.  My procedure was the next day and I stayed in the clinic that night.  Some people stay one more night in the clinic but I wanted to go home (I live in San Diego) and sleep in my own bed.  Their driver took me back to the US and dropped me off at the airport.  My Mom came too...feel free to see the blog on my page which provides more details about the experience.  Also, I have free fills for life in my lap-band which was important to me!

I AM 25 LBS DOWN SINCE 5/29/09 (half-way to goal from the regain) AND WOULD DO IT AGAIN IN A SECOND. 

Good luck.
jennrichardson
on 7/20/09 2:49 pm - Hurst, TX
I am wondering the same things about having a revision. Lisa, did your insurance cover your RNY and then your lap band?

Thanks, Jenn
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