obesity 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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Know Your BMI

Body mass index or BMI is a measure of the weight of a person in relation to their height.

BMI is often times used to determine whether or not a person is obese. As BMI increases, the risk of some diseases increases. A BMI of 30 or above is considered obese in adults, which means a person is at a higher risk for certain diseases, including heart disease, high blood pressure, and coronary artery disease (CAD).

BMI can be calculated using either the BMI calculator or the following BMI chart.

BMI Chart

The following table provides information about the extent of the risk factors that may be associated with your calculated BMI. However, it should be noted that BMI is only one of many factors used to predict the risk of developing a disease.

BMI             CLASSIFICATION       HEALTH RISK 
Under 18.5      Underweight *        Minimal 
18.5 - 24.9     Normal Weight        Minimal 
25 - 29.9       Overweight           Increased 
30 - 34.9       Obese                High 
35 - 39.9       Severely Obese       Very High 
40 and over     Morbidly Obese       Extremely High

*Note: A BMI below 18.5 suggests you may be below the safety minimum.

Medical tourism is an affordable option to seek surgery to treat obesity. For more information about medical tourism and to get your free quote log on to Healthbase.

Healthbase is a medical tourism and dental tourism facilitator that connects patients to leading JCI/JCAHO/ISO accredited hospitals and dental offices overseas through a secure, high-tech, information-rich web portal. Healthbase provides a wide range of medical procedures through its partner hospital network. Over two hundred medical procedures are available in various categories: cosmetic and plastic, orthopedic, dental, cardiac, and many more. The savings are up to 80 percent from typical US prices even after adding up the travel costs, hospital stay and other related expenses. Healthbase offers more than just procedural availability; we also provide customers with extensive information on medical treatments, hospital and doctor profiles to help them make an educated decision regarding their treatment; travel planning and booking; applying for medical/dental loan and much more.

To learn more, visit http://www.healthbase.com and login to view our extensive hospital profiles including pictures of operating rooms, patient rooms, doctor qualifications, and lots more. Get a FREE quote now!!

Note: All information presented here has been obtained from publicly available medical resources and is here for reference purposes only. Healthbase does not claim to be a medical professional and does not provide any advice on any issues relating to medical treatment.

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