ROSE Procedure

We now offer a new technology to treat one of the potential sources of weight regain. The ROSE (Repair of Surgery, Endoluminal) procedure is an incisionless way to restore the results of gastric bypass surgery.

Three to five years after gastric bypass surgery, some patients start to regain weight because the size of their stoma (the opening at the bottom of the stomach pouch) or their stomach pouch itself has increased. This can keep you from feeling full after small meals.

To resolve this problem, our surgeons use new surgical tools to create and suture folds into the pouch, reducing its volume and at the stoma to decrease its diameter. The surgeon performs the procedure entirely through the mouth – inserting an endoscope under heavy sedation – so there are no external incisions into the body.

In the past, revision surgery to reduce the size of the pouch or stoma meant a longer surgery with a higher rate of complications than the original bypass surgery. The ROSE procedure usually takes less than an hour and because there are no incisions, there’s a lower risk than traditional surgery, minimal postoperative pain, fast recovery time, and no scarring. Patients can generally return home the same day after a short recovery and observation period.

Keeping your weight down after gastric bypass is vital to improving your health and reducing the co-morbidities associated with obesity such as Type II diabetes, heart disease, joint disease, and respiratory conditions. If you have started to regain weight since your initial surgery, ask your surgeon if the ROSE procedure might be right for you.

If you’re interested in learning more about revisional surgery, learn more about a free ROSE seminar.