StomaphyX and ROSE FAQs
Dr. Ellner Answers Frequently Asked Questions about StomaphyX and ROSE
Can the StomaphyX and ROSE procedures be done on someone INSTEAD OF THE GASTRIC BYPASS?
No. The StomaphyX and ROSE are only used for tightening pouches on patients who have had the gastric bypass.
How do I Know if my Pouch or Stoma has Stretched?
The only way to definitively know if the pouch or stoma has stretched is to undergo an upper endoscopy. This is a simple, quick procedure where the patient is lightly sedated and a small scope with a video camera on the end is passed through the mouth, down into the stomach pouch. Measurements of the pouch and stoma are taken, the pliability of the stomach is evaluated and an assessment of surgical options is made. It is an easy procedure to undergo, and a Gastroenterologist (scope doctor) can perform it, but the information gathered is important, so I encourage patients to have me do the procedure if at all possible. This allows me to get the best information from the procedure and have an informative discussion of the findings with the patient when he/she sees me in consultation.
If a gastroenterologist is to perform the scope, I feel that it is extremely important that the doctor speak directly to me beforehand, so they understand exactly what measurements are to be made. The patient needs to give me the telephone number of the Gastroenterologist, so that I can contact him/her well ahead of time to discuss the details.
Are there Criteria to Qualify for the StomaphyX and ROSE Procedures?
Unlike the gastric bypass, there are no minimum weight requirements for undergoing these procedures. They are performed in an effort to repair stretched pouches and stomas. These operations are appropriate for people who have regained weight due to stretch, as described above. It is extremely important to recognize, however, that just like the gastric bypass, the patient must participate in regular follow-up with a supportive and knowledgeable surgeon in order to have the best chance at shedding the extra pounds and keeping them off. I require that all patients who participate in the Incisionless Revision Program engage in the full educational program right after the procedure, as well as monthly follow-up with me. I am more than happy to do follow-up over the telephone, but the patient must commit to this very important aspect of their care before I will be willing to perform the procedure.
How Long Do the StomaphyX and ROSE Procedures Take?
The StomaphyX procedure itself can take anywhere from 20 – 40 minutes, depending on how large the pouch is to start with and how much work needs to be done to shrink it to the appropriate size. The ROSE procedure, involving a more complex instrument, takes 60-90 minutes.
How Should I Expect to Feel After a StomaphyX or ROSE Procedure?
The most commonly reported side effects are a sore throat and a “tightness” in the stomach area for a few days afterward. This does not impair the passage of liquids through the stomach and nausea is not typically a problem. Some patients take a pain reliever like Tylenol for 1-3 days afterward. Very few patients require stronger pain relievers.
How Long Until I Can Return to Work?
Most patients feel well enough to return to normal work activities the day after surgery. However, heavy lifting is not advisable for one month afterward. I like to discuss a patient’s individual activities with them beforehand, so we can customize the program to be safe and best fit their needs.
What Will I Eat After the Procedure?
The post-procedure eating plan is similar to a fresh gastric bypass: high protein liquids, easing into mushy proteins and advancing to lean, high protein foods thereafter.
