One year out ?? Additional procedure

Just a general question...

When I visited my surgeon at 10 months, mentioned that I am past the honeymoon period, he spouted off something about an "additional" procedure.  He mentioned that it cound be done internally, like something to restrict the stoma diameter.  I will be a year out in 3 weeks.

Does anyone have any idea what he was talking about?  I really would like to drop another 20-30 which would put me way below goal, and I'm down to about 2 lbs per month in loss.  Granted, I think I'm putting on some muscle, but nonetheless...

Any ideas and thanks?

Guy

What is the ROSE PROCEDURE?
New surgical tools now allow surgeons to reduce the size of the pouch and stoma through the patient’s mouth without making external cuts into the body.  Your doctor may refer to this as the “ROSE" procedure, which stands for Restorative Obesity Surgery, Endoscopic.

Before the ROSE incisionless procedure, patients *****gained weight after gastric bypass generally had few treatment options.  Scarring and adhesions related to the initial bypass procedure make open or laparoscopic revision surgery very challenging.  Revision surgery procedure time is typically longer than the original bypass procedure and patients can be up to three times more likely to develop a complication following revision surgery.  Therefore, most patients *****gain weight after gastric bypass opt not to undergo open or laparoscopic surgical revision after weighing the risks and benefits.   Why would I gain weight after gastric bypass?
A number of studies suggest that patients regain weight due to the gradual enlargement of the surgically altered small stomach pouch and stoma, (connection between the stomach and small intestine).  When the Roux-en-Y procedure is performed, the stomach and stoma are made very small, which slows the passage of food and creates a feeling of fullness after just a small volume of food is eaten.  It is believed that when the stomach pouch and stoma gradually enlarge, the feeling of fullness is no longer present, patients can eat larger meals, and weight regain occurs.    How do I find out if I’m eligible for this new incisionless, restorative ROSE procedure? 
Patients who had a Roux-en-Y gastric bypass more than 2 years ago, lost over 50% of their excess weight and have now regained 15% or more of this weight are ideal candidates for this procedure.   After an initial screening, you will undergo a series of evaluations including nutritional and dietary counseling, a full medical exam and endoscopy to determine if you are a good candidate. 

What does the ROSE procedure entail?
The ROSE procedure is performed using a small flexible endoscope and a new EndoSurgical Operating System (EOS).  The scope and the EOS instruments are inserted through the mouth into the stomach pouch the same way as a standard endoscope.  Tissue anchors are used to create multiple, circumferential tissue folds around the stoma to reduce the diameter, typically to about 10mm.  The surgeon will then use the same technique to place anchors in the stomach pouch to reduce its volume capacity.  After the procedure the patient will enter the institution’s standard bariatric surgery follow-up program of nutritional counseling and exercise, similar to the one prescribed after their original gastric bypass surgery. 
Yes, it's called the Rose procedure.  They go in from the esophagus and sew the pouch tigher.  I asked my surgeon's PA about the procedure.  She said it was not very effective.  It is an option, but it may not work very well.  You might want to wait a few years.  There are new procedures coming down the pike that are not to evasive and might work better...pending FDA approval.  Brian  PS Like the Lap Band, the maker has a patent on the procedure.  They make a huge profit from everyone they do.

Well.....

That was easy.


Thanks Brian

You know .. I've seen that.

My humble opinion on it is, it's a tool for people who aren't succeeding, who have "streched" thier stoma. 

If you're still losing, even though it's down to 2lbs a month loss, I wouldn't mess with it.  But that's just my opinion.

I'm a little over two and a half years out, and I'm down a little over 400lbs, and still (albeit very slowly) losing. 

Why mess with something that's still doing it's job?  Why take the additional medical cost and / or risk? 

Just a few things to think about.  Not going to tell you what to do one way or another.  Just my opinion.