Stomach reduction without incisions (POSE)
Primary Endoluminal Obesity Surgery (POSE) or stomach reduction without incisions is a novel treatment which represents the safer and less invasive surgical option to deal with obesity. The surgery is carried out endoscopically, with no incisions made, and performs a series of folds in the gastric fundus in order to reduce stomach capacity.
For decades surgeons have practised different abdominal surgeries to help people lose weight. These types of operations are very effective, but come with the risks associated with open or laparoscopic surgery, and for that reason they are only prescribed in cases of extreme obesity. POSE, being a process without incisions, offers significant advantages over the other surgeries:
- Less painful
- Decreased risk of infection
- No external scarring
- Faster recovery
- Shorter hospital stays or outpatient treatment
What does POSE involve?
The surgical tools of the last generation allow surgeons to reduce the capacity of the stomach orally; without making incisions. The procedure, performed endoscopically, involves making folds in the stomach and stitching them in order to reduce its size. Therefore, stomach capacity is limited and the patient is full up after eating small amounts of food.
Even though the stitches are made to endure for life in the stomach, POSE is a reversible procedure. That is to say, if deemed necessary, it is possible to undo the folds and return the stomach to its original state.
How long does this surgery last?
Its duration is usually 50 minutes, performed under general anaesthetic and, as it is a simple procedure and considered low risk, the admission is usually on an outpatient basis. Although it will always be the surgeon who determines, depending on each case, the necessary hospitalisation period.
How is the recovery after POSE?
As there are no incisions or external wounds, the recovery process following POSE is very fast and relatively pain-free. For example, a patient can have the operation on a Friday and resume their working life by Monday, without inconvenience and without anyone being aware that they have undergone treatment.
In the days that follow you will have to maintain a similar diet to the one usually prescribed after an obesity surgery.
When is POSE appropriate?
POSE is appropriate for patients with a BMI (Body Mass Index) greater than 27, from grade II overweight to severe type II-III obesity.
What results should be expected?
The expected results of POSE are similar to those obtained through a Gastric Band; that is to say, a loss 50-60% of excess weight. Experience in the US and Europe tells us that patients begin to lose weight the day after undergoing the surgery. At one month, the average weight loss is 10 kg and during the first 3 months, the weekly weight loss is between 600 g and 1.5 kg.
For best results, it is important to accompany this type of surgery with a change in diet and lifestyle. Therefore , in Clínica Corachan the treatment is managed by a multi-disciplinary team made up of endocrinologists, nutritionists, gastroenterologists and psychologists and includes a 24 sessions monitoring program that will help you to lose all the weight you need and give you the necessary tools to make sure you never regain it.