Stomaphyx 

Roux-en-Y gastric bypass surgery has a very high success rate.

However, some patients may experience weight regain or feel with more restriction they could continue to lose more of their excess weight. 

In the past open surgery was used to decrease the size of a dilated gastric pouch and stoma.  Revision surgery, by going back inside the abdomen, has  in most cases a higher risk of complications than the original gastric bypass surgery. 

Using a fiberoptic gastroscope (similiar to a colonscope for the colon), the esophagus and stomach are easily accessed. 

The Stomaphyx device was designed to go down with the fiberoptic endoscope through the mouth then down the esophagus and into the stomach pouch. 

Once inside the stomach pouch, stomach plications (pleating) of the pouch are formed by using the stomaphyx device that places multiple fasteners between a fold of stomach pouch.  The pouch is reduced in size and made less compliant (stiff).

Patients who may benefit:

-Gastric Bypass patients who are regaining weight or want to lose more weight.
-Duodenal Switch patients who want more restriction.
-Sleeve gastrectomy patients who want more restriction in their remaining stomach.
-Stomach fistula or leak.
-Severe dumping syndrome.
-Low blood sugar (hypoglycemia) from late dumping.

Stomaphyx is an FDA approved device.