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Transoral rose and StomaphyX

After gastric bypass surgery, about 17% of patients will begin to gain the weight back within five years. This is mostly due to the stomach pouch that was created during the surgery that begins to stretch once the patient’s body begins to adapt to the changes. The stomach begins to empty itself out more quickly and the full feeling a patient once had no longer occurs hence leading the patient to continue to eat until they either feel full or get sick.

Since this battle can become extremely frustrating due to all the hard work that goes into losing the weight after gastric bypass surgery, a second more invasive surgery was made available to counteract the effects of the stomach and the stoma stretching. Now, the same results that this second invasive surgery can be done with more non-invasive methods that will help patients get back on track to healthy weight loss by re-shrinking the stomach.

There are two types of non-invasive methods that can be used to prevent the backlash of weight gain after bariatric surgery are StomaphyX and Transoral ROSE (Restorative Obesity Surgery).


StomaphyX is a non-invasive procedure where the surgeon literally does an endoscopy where a scope is put in through your mouth and is fed down into the stomach pouch. No incisions are needed for this procedure as it goes directly into the mouth. Once the scope has been inserted, the surgeon will then suction out the stomach tissue into a small StomaphyX opening. This allows a fold of tissue to be created which is then secured with fasteners in the shape of an “H.” These small folds will eventually create a smaller stomach pouch about the same size as the one created during gastric bypass. The number of folds needed depends on the size of the stomach.

This procedure takes approximately 30 minutes depending on how big or small the stomach pouch is and how much correction will be needed. Typically general anesthesia is needed. The result of this surgery allows your stomach to empty at a slower pace helping you to feel fuller more quickly which will assist in the weight loss process to proceed from where it left off.

Transoral ROSE Surgery

The newest non-invasive weight loss surgery is transoral ROSE. While this surgery is similar to StomaphyX, a surgeon will insert a similar tool to the endoscope that has four different channels into the mouth, down through the esophagus and into the stomach. He or she then puts specialized instruments through those four channels to sew the connection between the small intestine and stomach pouch together.

In the transoral ROSE procedure, the surgeon sutures tissue to make several folds around the opening of the small intestine (the stoma) to decrease its diameter. Anchored sutures are then placed into the stomach pouch minimizing how much the stomach can actually hold. The result allows the stomach to empty more slowly which also leaves you feeling fuller, faster and allowing your journey from weight loss surgery to keep on going.

When considering each of these “quality control” bariatric surgeries, it is important to know the difference between the two. Transoral ROSE precisely places the suture more so than the StomaphyX and actually narrows the stoma. StomaphyX will only assist in decreasing how much food the stomach pouch can hold. Research has shown that transoral ROSE sutures will last much longer than the fasteners used when having the StomaphyX procedure. Weight your options before deciding which corrective surgery would be best for you.