The gastric bypass procedure has proven to be very effective in helping patients lose weight and keep the weight off long term. However, some patients regain weight or stop losing weight after an initial period of success. In these patients, we frequently find that the gastric pouch has stretched and the stoma (connection between the pouch and the bowel) has dilated. Patients note that they can eat more food before losing their appetite and that they get hungry much more quickly after a meal.
For these patients, one of the options to restore the pouch and stoma to their initial configuration is the Rose/Apollo procedures. These procedures do not require surgical incisions but can be accomplished endoscopically using specially designed equipment- making it the most non-invasive option available.