Revision Obesity Surgery Endolumenal (ROSE)

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10.500,00  9.700,00 

This endoscopic treatment is particularly prescribed for patients who have had a gastric by-pass operation but who gained weight again after a few years.

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Endoscopic repair of a Gastric by-pass through the OverStitch Endoscopic Suture System of Apollo Endosurgery – this consists of the performance of a reduction by endoscopy of dilated gastrojejunal anastomosis, without the need for external incisions.

By means of an endoscopy through the mouth, sutures are made on the gastrojejunal anastomosis to reduce its size, so that food moves more slowly, provoking rapid satiation and delaying the onset of hunger.

This system of endoscopic suture can also reduce the sack or gastric reservoir when this has become excessively dilated.

The method is painless, although there may be some gastric discomfort, and patients usually recover quickly and can return to normal life within 24-48 hours of the procedure.

More information

 

Advantages:

Preservation of gastric anatomy, it can be repeated and allows for later surgery, if necessary.

EWL (Excess Weight Loss):

  • 55,3% after 6 months
  • 54,9% after a year
  • 62% after 18 months

Recommended for:

  • Type I obesity with associated comorbidities.
  • Type II obesity.
  • Type III obesity with few comorbidities or those who reject surgery.
  • Other alternative applications: Patients with Type IV obesity (super obesity with BMI>50kg/m2) who do not want or who are not recommended for surgical treatments.

Not recommended for:

  • Pregnant women.
  • Patients under 16.
  • No further limitations. The technique has been used successfully on patients up to 70 years old.

Procedure

 

Prior preparation: (similar to gastroscopy)

  • Patients must fast for at least 8 hours prior to the operation. A liquid diet may be prescribed for 1-2 days previously to prepare the patient, so as to ensure that there are no traces of food in the gastric area due to poor digestion or retention.
  • Pre-operation (ECG, X-Ray of Thorax, Clotting test).
  • Assessment by the Anaesthesia Service of Clínica ServiDigest.
  • Patients on antiaggregants and anticoagulants: Carry out the same protocol for hazardous endoscopic techniques.
  • Patients on antiaggregants: Suspended 7 to 10 days before.
  • Anticoagulant: Switch to low molecular weight Heparin (to be assessed by your normal haematologist).
  • Assessment by the Endocrinology, Nutrition and Clinical Psychology teams at ServiDigest Clinic.

Procedure

  • Antibiotic prophylaxis: Cefotaxime 2 grams IV (single prior dose).
  • General anaesthetic: tracheal intubation and mechanical ventilation.
  • Duration of the procedure: 45 to 60 minutes (in the first cases: 1.5 to 2 hours).
  • Liquid diet starts at 6-8pm on the afternoon of the day of the operation.

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