subject: Questions about ROSE (Restorative Obesity Surgery, Endolumenal) [print this page] What is ROSE? What is ROSE?
Restorative Obesity Surgery Endolumenal, or ROSE, is an incisionless, endoscopic surgical procedure that restores stomach and stoma size to the proportions previously achieved after initial gastric bypass surgery.
Why did I gain weight after gastric bypass?
If you have undergone gastric bypass surgery or LAP-BAND surgery for weight loss and gained weight, it may be because the stomach pouch or stoma has stretched over time. The stoma is the connection between the small intestine and the pouch. Because of this stretching, you may be able to eat more before feeling full. Increased food intake leads to weight gain.
Am I a good candidate for ROSE?
If you were successful with losing weight after gastric bypass surgery, and find yourself gaining weight, you may be a candidate for ROSE. Your bariatric surgeon will conduct a medical screening, a thorough medical examination, evaluate your nutritional needs, and perform an endoscopy to determine your eligibility for ROSE. Additionally, your surgeon may recommend dietary counseling.
How is the ROSE procedure performed?
The EndoSurgical Operating System (EOS) uses the latest technology to perform ROSE. EOS is approved by the Food and Drug Administration (FDA).
EOS relies on a long, thin access platform, called the TransPort, and specialized surgical tools designed to grasp tissue and secure it so your surgeon can insert anchors and sutures. An endoscope is used to assist your surgeon with visualization. Your bariatric surgeon inserts he scope and EOS instruments through your mouth and into the stomach pouch, using the tissue anchors to create folds to reduce the size and volume of your stomach pouch. Because ROSE requires no incisions, you will experience less risk, reduced postoperative pain, faster recovery time and no concerns about scarring.
Is ROSE safe?
After your ROSE procedure, you may be discharged the same day or may stay in the hospital overnight. Some patients report a mild sore throat following the ROSE procedure. Most patients experience no discomfort of any kind.
Following the ROSE procedure, you will participate in nutritional counseling and exercise, similar to the program followed after your initial gastric bypass procedure. Because ROSE is less invasive than laparoscopic or open surgery, many typical surgical complications are reduced. While every surgical procedure exposes a patient to some risk, ROSE is well tolerated by most patients. The goal of reducing stomach size is successful in helping you feel full again after eating small amounts, so you can lose weight.
Maintaining a healthy weight after gastric bypass surgery is vital to your health, reducing or eliminating obesity-related health conditions such as Type II diabetes, heart disease, joint disease and respiratory conditions.
Questions about ROSE (Restorative Obesity Surgery, Endolumenal)