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.

What Is the Rose/Apollo Procedure?

During this procedure, the surgeon inserts an endoscope into the pouch.  Using specially designed instruments, the surgeon is able to make the pouch smaller and decrease the size of the stoma.  This procedure restores restriction to the gastric pouch so patients can be satisfied with a smaller meal.  The Rose procedure was the initial procedure used by New York Bariatric Group and it has been supplanted in the past year by the Apollo Procedure.


If your procedure is performed in the morning and all goes well, you may be discharged the same day.  If it is done later in the day, or if your surgeon wants to monitor the results, you may require an overnight stay.  You won’t know for certain until the day of your procedure.  You will be given specific instructions on when you can return to normal activities, but in most cases, it shouldn’t be more than a few days.

Dietary Guidelines After Surgery

In all likelihood, you will be instructed to follow a similar diet guideline as the one you followed after the original gastric bypass.  You will be on a puree diet for a period of time following the procedure, then graduate to regular foods until more solid foods are tolerated.

Follow Up Plan

Your surgeon will want to keep relatively close tabs on you following your procedure, so make a point of going to every appointment.  You won’t have any incisions to check on after the first week, but your surgeon will want to evaluate your weight loss at regular intervals to determine if the procedure is successful and safe over the long-term.