ROSE Technique suitable for plication?

Does anyone know if the ROSE technique is suitable following Gastric Plication?

Has anyone had it?

What are the approximate costs?

It's a horrible procedure that does not work 100% of the time. Check out the revision board. The only people that claim it works are those selling the surgery type. 100% of the people posting basically claim you lose about 20# on the post op diet and as soon as they start solids they regain.

Why would you want plication and ROSE?

 I've had the plication and was just curious as to what revision options were available as I'm not feeling much restriction.

Just curious, what is the ROSE procedure?

Restorative Obesity Surgery Endolumenal (ROSE).  It's a revision technique used when people haven't lost enough weight with RNY (and VSG?  Unsure about GPS).

They go in through your throat and put 10-50 staple-like sutures to reduce the pouch size and they reduce the stoma size too (entrance and exit to the stomach, so slows filling and emptying).  This isn't to be confused with StomaphyX, which only reduces the pouch size and hasn't proved successful (ROSE has had limited success I believe but more than StomaphyX at least). 

I'm curious, can you tell us more about your experiences with plication? Did you have restriction in he beginning? Did your stomach stretch? How far out post op are you? How much dense protein can you eat?

 I'm 7 weeks out.  I had a lot of restriction for about 3 weeks, but now I feel like I did before, ie no restriction.  I've never vomitted or even felt nauseous or had reflux, as I was told that if I was sick in the first 3 weeks that would undo everything, so I took things really easy.  I'm just wondering where to next.  I wouldn't want VSG as that seems pretty drastic and I just think what if I get esophegeal cancer - you've already used up your life line.

There's a girl on VST who's 5.5 months out who had plication and she doesn't feel any restriction either, but it obviously does work for some! :-S

Any thoughts are appreciated (WASa - I appreciated your blog on don't go to the cheapest surgeon and at least followed that advice).

How much can you eat? Such as chicken, how many ounces?

BTW, with esophageal cancer they don't really need to use your stomach. You actually have less risk of stomach/esophageal cancer with the sleeve than you do with plication. There are entire families out there with a strong family history of stomach cancer and so they have their entire stomachs removed to prevent cancer. Let me see if I can find a link....

http://www.wired.com/science/discoveries/news/2006/06/71190

The problem with plication is that there is very little to do for a revision short of DS. Anything done to your stomach is a verrrry high risk for a leak. Taking down plication is not easy at all. Many doctors say it is reversible for two weeks post op and then it is what it is.

Not sure how many ounces but I can get down a whole Weigh****chers ready meal pretty easy.  I've been diligent about getting at least my 60 grams of protein and one day I even got 100 grams (no carbs just some spinach that day).

Don't you think that conversion to VSG would be possible?  The surgeon was reluctant to do GPS on me and wanted to band me due to my lowish BMI (was 30.5 day of surgery).

i do not know first hand, but i will tell you that a very reputable surgeon, when i asked about the ROSE, said that any surgeon who took self-pay for that procedure is a theif. he said that it does not work for any length of time. of course, i do not know first hand, but i have yet to hear a success story with that procedure.