bariatric surgery


ROSE Procedure, a weight loss revision surgery

Traditionally those who needed a revision bariatric surgery following a gastric bypass (also known as Roux-en-Y procedure) have had to resort to another open or laparoscopic gastric bypass surgery involving more cutting of the internals of the body. Such a revision obesity surgery is quite complicated and therefore surgeons and patients frequently avoided it for the high risks associated with it.

Today patients have a better choice which not only involves NOT opening up the patient, as it is done edoscopically, but is also less complicated and has minimal risks.

Need for the ROSE procedure

The ROSE procedure is a weight loss surgery (WLS), needed as a revision for a gastric bypass surgery. So let’s first understand what a gastric bypass procedure does.

The aim of a gastric bypass surgery is to make the stomach and stoma very small so that the stomach can now hold much less food and the feeling of satiety is achieved after the consumption of a very small amount of food. This makes the person eat less and thus lose weight.

Most people lose their excess weight to a great extent following a gastric bypass procedure. However, the stomach pouch and the stoma may expand/stretch over time causing the capacity of the stomach to increase. So the stomach can now hold more food and the feeling of fullness is now achieved after consumption of a larger amount of food than before. This results in weight regain.

A revision weight loss surgery is therefore required to once again reduce the size of the stomach pouch and the stoma. The ROSE (Restorative, Obesity Surgery, Endolumenal) procedure is a revision weight loss surgery for patients who have had gastric bypass surgery previously (at least 2 years ago) and lost 50% of excess weight but regained at least 15% of it back.

In a ROSE procedure, the surgeon pleats/folds the stomach with sutures to reduce its size back to about the size at the time of the original gastric bypass surgery. This is achieved through an endoscope (a long narrow tube carrying a camera and surgical instruments) which the surgeon inserts into the patient’s stomach pouch through a natural opening in his body, in this case his mouth and down the esophagus. The surgical tools in the endoscope are then used to gather together sections of stomach tissue to create a pleat which is then sutured together. With this process, the stomach volume and stoma diameter can be reduced to increase restriction and help weight loss. The procedure takes about an hour to complete.

Candidacy for the ROSE procedure

In order to be eligible for the ROSE surgery you must have:

  • had the gastric bypass procedure at least 2 years ago,
  • lost 50% of your excess body weight following the surgery, and
  • regained 15% of it back.

In some cases, a patient may also be a candidate if he underwent gastric bypass surgery but failed to lose weight.

Advantages of the ROSE procedure

  • Incisionless i.e. no external incisions or cuts therefore lower risk of infection and associated complications, and also no scarring
  • Quick procedure (takes about an hour)
  • Causes little or no discomfort to the patient
  • Minimal post operative pain/symptoms (mild sore throat, hoarseness, swollen lip, and lip pain due to the endoscopic instruments that were inserted into the mouth)
  • Fast recovery time

Cost of a ROSE procedure

For a FREE estimate of the cost of ROSE procedure in the United States or cost of ROSE procedure abroad visit Healthbase.

For more information about affordable surgery, read about international medical tourism and domestic medical tourism.

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Medical Tourism is no longer restricted to outbound medical tourism i.e. Americans seeking care outside of the country. Domestic medical tourism is gathering pace as more and more Americans are now crossing state borders to take advantage of cheaper prices available for quality health care out-of-state. It’s amazing to know that the price differential on healthcare within the same country can be tremendous if only you take the trouble to shop for it.

Recently Healthbase partnered with many health care providers in several states within the United States. The prices on major procedures that these providers offer to Healthbase clients are as low as 10% of the prevailing cost of those procedures in other typical hospitals within the country. Read more about this partnership.

So how can some US providers offer such low rates?
Patients can avail of such low rates if they choose the one-pay option. AARP Bulletin Today recently covered the story of Rodney Larson, an uninsured Minnesota resident and a Healthbase customer who had his triple bypass surgery at a heart care hospital in Kansas.

According to the bulletin,

As a father to nine daughters, electrician Rodney Larson always looks for ways to cut costs. So in 2008 when he was told he needed triple bypass surgery – totaling $80,000 or more – he shopped around.

Rodney Larson traveled within the United States for heart surgery

Rodney Larson traveled within the United States for heart surgery.

Larson, 56, of Boyd, Minn., searched the Internet and found a hospital that would do the surgery for $13,200. The facility, Galichia Heart Hospital in Wichita, Kan., participates in a domestic medical tourism program run by Healthbase Online.

Located in Boston, Healthbase is one of a handful of companies reaching out to U.S. hospitals to provide specialty surgeries at much lower costs than traditional providers. The company also offers international medical tourism – in which patients travel abroad for procedures – but is finding a market for U.S. specialty hospitals.

Most patients who use medical tourism companies are uninsured and must pay upfront for procedures. Larson liked the one-pay option.

“They saved me a lot of money, but the point is, it was excellent care,” he says.

Source: AARP Bulletin Today

Available procedures
Most major procedures are available at discounted rates within the US through Healthbase. Procedures fall in the categories of cardiac, orthopedic, bariatric, spinal, etc.

Want to know if the procedure you need is available and how much it costs?

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Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase Logo

GASTRIC BYPASS SURGERY – WHAT CAN IT DO FOR YOU?

Some people have gastric bypass surgery and shed 100 pounds or more. What can this surgery do for you?

To answer this question, you will first need to know what gastric bypass surgery is and how it helps you lose weight.

A gastric bypass surgery also known as Roux en-Y surgery is a medical procedure that reduces the size of your stomach causing you to feel full when you have eaten only a small portion. What your surgeon will essentially do is divide your stomach into two sections – a small upper one and a much larger remnant one using surgical staples (which is why this procedure is also known as stomach stapling). The small top pouch is the one that will hold your food. Your surgeon will also re-arrange your small intestine such that both the stomach pouches remain connected to the intestines.

The reduction in the functional volume of your stomach reduces your food intake. Not only that, the re-arrangement of the small intestine causes food to by-pass the first part of the small intestine resulting in reduced calorie absorption. Both these factors help you lose weight.

But is gastric bypass surgery for everyone who needs to lose weight?

That’s a personal choice or your doctor may prescribe it for you. Generally, it is considered in only those individuals who have tried hard but failed to achieve weight loss through exercise and diet.

Obesity, which is a complex disease, leads to other diseases. Morbid obesity or the accumulation of too much body fat increases a person’s risk for developing other health problems or co-morbidities such as heart diseases, diabetes, etc.

But how much fat is too much fat?

That’s calculated by your body mass index or BMI which is a measure of your weight in relation to your height. In simple words, it tells you how much you should normally weigh for your height and if you exceed that normal weight then you are medically considered overweight. Reducing your weight and therefore, your BMI, helps you control the risk of developing obesity related health problems. (Use the BMI calculator to calculate your BMI.)

Like any other surgery there are risks associated with gastric bypass surgery as well. Some of the risks include gastritis (which is an inflammation of the stomach lining), development of gallstones (caused by significant weight loss in a short time), nausea, vomiting, bleeding, infections, and nutritional deficiency (which can be avoided through nutritional supplements). So, when deciding to have the surgery you should carefully weigh the risks associated with it and the problems that it can solve for you.

Variations of gastric bypass surgery are gastric bypass, Roux en-Y proximal; gastric bypass, Roux en-Y distal; and loop gastric bypass or mini-gastric bypass. Gastric bypass surgery is not the only bariatric surgery available for treating morbid obesity. Some people also consider gastric lap-band as an option.

The cost can be a major deciding factor when considering the surgery. Depending upon your specific medical conditions and insurance terms, your health insurance carrier may or may not cover the costs.

The high cost of healthcare has led some Americans to seek treatment in countries like India, Thailand, Singapore, Mexico and Turkey. This practice of going abroad, which is termed as medical tourism or medical travel or health tourism, is a way of getting low cost high quality medical care. But before you decide to outsource your health care it’s extremely important that you do your homework properly – research the facilities, the surgeons, compare the cost and quality offered by different hospitals, talk to people who have had their surgery overseas, etc.

You can learn more about the growing trend of medical tourism, gastric bypass surgery and other medical and dental procedures by logging on to http://www.healthbase.com.

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