Primary Obesity Surgery Endolumenal
Endoluminal or POSE (Primary Obesity Surgery Endoluminal) is a minimally invasive weight-loss procedure designed to reduce stomach size and promote weight loss without the need for external incisions. The entire surgery is performed using an endoscope—a thin, flexible tube with a camera and other specialized tools—inserted through the mouth and down the esophagus. During the procedure, small incisions are made in the stomach lining, and special instruments are used to create folds or plications that reduce the stomach's capacity. This results in a feeling of fullness after consuming smaller portions of food. POSE typically requires less recovery time compared to traditional bariatric surgeries and is often performed as an outpatient procedure. Although considered less invasive, the effectiveness of POSE can vary between individuals, and like any surgery, it carries certain risks.
About Primary Obesity Surgery Endolumenal (POSE)
Symptoms:
POSE, or Primary Obesity Surgery Endolumenal, aims to induce weight loss without addressing specific symptoms. Since the procedure involves the passage of an endoscope, patients may experience mild discomfort or throat stiffness afterward. Additionally, some may encounter temporary changes in eating or digestion as they adapt to their smaller stomach size. Strict adherence to post-operative guidelines is crucial to minimizing discomfort and ensuring optimal results. If severe symptoms, such as intense pain, difficulty swallowing, or signs of infection arise, patients should immediately contact their physician for evaluation.
Causes:
POSE focuses on inducing weight loss by reducing the stomach’s capacity, but it does not directly address the root causes of obesity, such as lifestyle choices, genetics, physical inactivity, or metabolic disorders. The procedure works by creating a smaller stomach that promotes a feeling of fullness with less food, leading to reduced caloric intake and weight loss. However, long-term success requires addressing lifestyle factors, such as diet and exercise, in conjunction with the surgery.
Remedies:
The goal of POSE is to support sustained weight loss and long-term success. Patients are encouraged to practice portion control and maintain a balanced diet rich in nutritious foods like lean proteins and vegetables. Regular physical activity, including both aerobic and strength training exercises, is essential for overall health and weight management. Emotional and psychological factors related to eating behaviors should be addressed through counseling or support groups. Routine follow-up visits with healthcare providers are necessary to track progress and address concerns, and nutritional counseling can offer additional guidance. A holistic approach that includes lifestyle changes, behavioral support, and medical monitoring is key to maximizing the benefits of POSE and achieving lasting weight loss.
Procedure of Primary Obesity Surgery Endolumenal (POSE)
Preoperative Assessment:
Before undergoing POSE, patients receive a thorough evaluation, including a physical exam, medical history review, and possibly radiology tests or blood work. This helps identify any risk factors or limitations and determines the patient’s suitability for the surgery.Anesthesia Administration:
POSE is performed under general anesthesia to ensure patient comfort and safety. The anesthesiologist administers the anesthesia to keep the patient unconscious and pain-free throughout the procedure.Endoscopic Access:
The POSE procedure is performed entirely through an endoscope—a flexible tube with a camera and specialized tools. The endoscope is inserted through the mouth, guided down the esophagus, and into the stomach, allowing the surgeon to visualize the internal tissues without making external incisions.Gastric Plication:
Once inside the stomach, the surgeon uses specialized instruments to create folds (plications) in the stomach lining. These folds reduce the stomach’s volume, limiting food intake and promoting a feeling of fullness with smaller portions. The number and placement of the plications may vary depending on the patient’s anatomy and weight loss goals.Suturing or Tissue Anchoring:
To secure the folds, sutures, clips, or other tissue anchoring devices are used. This ensures the long-term effectiveness of the procedure in reducing stomach volume and supporting sustained weight loss.Completion and Recovery:
After the gastric plication is completed, the endoscope is carefully removed. The patient is monitored in a recovery area until fully awake and stable. Most patients can return home the same day, though some may require an overnight stay based on their individual condition.Postoperative Care and Follow-up:
Patients receive detailed instructions on diet, activity, and medications to support their recovery and optimize outcomes. Follow-up appointments with healthcare providers are scheduled to monitor progress, address any concerns, and provide ongoing support for maintaining weight loss.