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ROSE Procedure

The ROSE (Restorative, Obesity Surgery, Endolumenal) procedure is a revision weight loss surgery (WLS) for patients who have had gastric bypass surgery (also known as Roux-en-Y surgery) previously (at least 2 years ago) and lost 50% of excess weight but regained at least 15% of it back. Most people lose their excess weight to a great extent following a gastric bypass surgery which makes the size of the stomach and stoma very small. Smaller stomach means that it can now hold much less food and the feeling of fullness is achieved after consuming only a small amount of food. However, the stomach pouch and the stoma may expand/stretch over time causing the capacity of the stomach to increase. The stomach can now hold more food and the feeling of satiety is achieved after consumption of a larger amount of food than before. This results in weight regain.

An open or laparoscopic gastric bypass revision carries a large amount of risks and complications with it and therefore is avoided by most patients and even surgeons. The ROSE procedure is an alternative to revision gastric bypass surgery which is done endoscopically without the need for any incisions into the body.

How is the ROSE procedure performed?

The purpose of the ROSE procedure is to reduce the size of the stomach (to about the size at the time of the original gastric bypass surgery) by pleating/folding the stomach with sutures and also to reduce the size of the stoma. The actual procedure is carried out in the following way:
The patient is put under general anesthesia. An endoscope (a long narrow tube carrying a camera and surgical instruments) is then inserted into the patient`s stomach pouch through 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.

How does the ROSE procedure work?

The goal of the ROSE procedure is to recreate the restriction of the initial gastric bypass surgery. The reduction in the stomach capacity helps limit food intake. By reducing the diameter of the stoma, the passage of food from the stomach pouch into the small intestine is slowed giving a feeling of fullness for a prolonged time after a meal and lessen hunger sensations between meals. Together these cause the patient to eat less and thereby achieve weight loss.

Candidacy for the ROSE procedure

To be eligible for the ROSE procedure 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, patients may also be a candidate if they underwent gastric bypass surgery but failed to lose weight.

After an initial interview with your bariatric surgeon to determine if you qualify for the ROSE surgery, you will undergo a series of tests including nutritional and dietary counseling, a full medical exam and endoscopy to establish your candidacy.

Advantages of the ROSE procedure

  • No external incisions or cuts (incisionless) 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
  • Done mostly on an outpatient basis
  • Quick recovery time, patient requires minimal time off work and can resume normal activities within a few days

How much does the ROSE procedure cost?

Request for a FREE and customized pricing estimate for the ROSE procedure.

Find a bariatric surgeon that offers affordable high quality ROSE procedure in the US as well as abroad.

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Healthbase, an award-winning* medical tourism facilitator in USA, is the trusted source for global medical and dental choices, connecting patients to leading healthcare facilities worldwide. We arrange a variety of medical tourism services from basic consultations to full service treatment abroad. We help you to take care of all your medical tourism details from arranging the surgery and financing options to visas, travel, lodging and tourism.

Healthbase caters to the needs of individual consumers, self-funded businesses, insurance carriers, benefit consultants, insurance agents, and third party administrators seeking affordable medical travel and dental travel options. Our state-of-the-art, easy to use, information rich web-based system makes it easy to coordinate international medical care including necessary travel and accommodation for patients and their companions, all at one place.

The cost of surgical care at our ever growing network of affiliated institutions is typically a fraction of the cost of care in the U.S. with equal or superior outcomes. Healthbase arranges first class services for patients at major internationally accredited hospitals in Thailand, India, Singapore, Malaysia, Philippines, South Korea, Turkey, Belgium, Hungary, Costa Rica, Panama, Brazil, Mexico, USA and is expanding to Canada, UK, Jordan,Taiwan, Argentina, New Zealand, Australia, El Salvador and Guatemala.

We offer over two hundred medical, dental and cosmetic procedures in various categories: Orthopedic procedures such as hip replacement, Birmingham hip resurfacing, artificial knee replacement, rotator cuff repair, knee surgery; Cardiac and Vascular procedures like heart bypass (multiple coronary artery bypass graft or CABG), aortic aneurysm repair, heart valve repair, heat valve replacement, angioplasty, RF Ablation; Spinal procedures such as spine fusion, laminectomy, disc replacement; Weight-loss procedures like gastric bypass, lap band, gastric sleeve; Eye procedures like LASIK; Cosmetic and Plastic surgery procedures such as breast augmentation, face lift, rhinoplasty (nose surgery), liposuction; Dental procedures such as orthognathic surgery, dental bridges, dental implants, dental crowns; dental veneers; and hundreds of other procedures in the departments of Urology, General surgery, Wellness and many more. The savings are up to 80% of typical US hospital prices.

Medical Tourism, also termed as Medical Travel, Health Travel, Health Tourism, Global Healthcare, Medical Vacation, Medical Value Travel, Medical Treatment Abroad, International Medical, Surgical Tourism, Surgery Abroad, Surgical Trip, Healthcare Abroad, Medical Outsourcing, offshore Medical and Overseas Medical, is the act of traveling abroad to receive medical, dental and cosmetic care. Significantly lower cost for best practice care is usually the primary motivation behind medical tourism although some medical tourists go abroad for immediate availability of procedures and to seek treatments that are not available in their home country. Patients frequently also take advantage of the opportunity to vacation and tour inexpensively in the foreign country while they are visiting for health care. Signup to know more about medical or dental tourism.

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