Laparoscopic Associates of San Francisco

Second chance for failed weight loss surgery

July 2nd, 2008 Posted in Stomaphyx, weight loss surgery

As the first and only surgeon in San Francisco and the State of Hawaii to perform the StomaphyX procedure, incisionless weight loss surgery, I am happy to report that my patients are ecstatic. I have been doing weight loss surgery for 15 years and I have seen the occasional patient frustration when they haven’t met their goal weight, or they have regained weight after the Roux-en-Y (gastric bypass), vertical gastrectomy, or duodenal switch procedure. The StomaphyX procedure basically shrinks the stomach pouch and the stoma, or anastomosis, (connection between the stomach and intestine). I insert fasteners in the pouch to create folds, or plications. This results in a pouch similar to the original weight loss surgery, allowing slower stomach emptying, earlier satiety, and more weight loss.

It’s been a great experience to be able to give patients second chances. StomaphyX is a no-brainer. No incisions, 30 minute operating time, and no hospital stay. This is also a great alternative to traditional revisional surgery, which puts a patient at a much higher risk for complications such as incisional herniation, infection, adhesions and scarring. Even though it was just approved this year by the FDA, the results look promising – 15-20% estimated weight loss. That’s usually the extra help that a patient needs. I also think that StomaphyX has superior clinical data compared to other natural orifice surgeries.

Paul Cirangle, MD, FACS
Director of Bariatric Surgery, California Pacific Medical Center
Director, Surgical Weight Loss Center of Hawaii

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