I have tried a couple of different endoscopic or through the mouth procedures to make the pouch and the stoma smaller. Those procedures were effective in the short term but the method to pull the tissue together wasn’t durable over the longterm. The current method that I am using, an endoscopic suturing device, uses the same type of suture and needle attached to an endoscope, that I use when I operate. The sutures placed using this method are durable and have been evaluated over a year out in some patients. This technique is an exciting, less invasive method without surgical cutting, to reduce the size of the stoma and the pouch. The risk of complications are low with this endoscopic reduction of pouch and stoma.
As with all procedures, the patients are placed on a special diet of 10 days of liquids and 10 days of puree after the procedure. Patients do have to commit to dietary change past the postoperative period. Healthy eating with minimal snacking is the key to long-term success. Exercise is also an integral component to weight maintenance for everyone!. The weight loss has been very good so far, and the patients note a big change in their portion size. Since this is a newer procedure, long-term (>1-2 year) data is not available.
The procedure takes under an hour. Patients need to go under general anesthesia for the procedure. My office will try to submit this to the patient’s insurance company for payment. We have had some success in getting this approved.
Please call the office for an appointment to discuss the risks and benefits of this exciting procedure to combat weight regain. You can contact us here.