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StomaphyX™ - Gastric Bypass Revision

Bariatric Bed

This revolutionary procedure is now available for individuals who have had previous gastric bypass surgery and who are regaining weight. This procedure involves placing an endoscope through the mouth into the stomach pouch without involving incisions or a long recovery. The connection between the stomach pouch and small intestines is then sutured, resulting in slower emptying of the stomach, earlier satiety, and more weight loss. The procedure also shrinks the stomach pouch and makes it small, similar to the outcome of the original gastric bypass procedure.

Benefits of the StomaphyX procedure include:

  • No need for abdominal or internal surgical incisions
  • Enables the surgeon to reduce the size of the stomach
  • Preserves future treatment options
  • In most cases, is performed on an outpatient basis
  • Essentially painless
  • Faster recovery than with open or laparaoscopic procedures
  • Provides for unique procedures for different anatomies
  • Adjustable and/or revisable

The StomaphyX™ device is an endoluminal fastener and delivery system that consists of an ergonomic, flexible fastener delivery device and sterile polypropylene fastener implants. It enables the strongest tissue bond and provides you with the highest levels of durability.

At Mercy Medical Center, we have successfully performed the StomaphyX procedure for many patients and helped them improve their chances for long-term weight loss success.

Shawn Garber, MD, Chief of Bariatric Surgery at Mercy, was one of the first five surgeons in the United States to learn the StomaphyX™ procedure for endoluminal gastric pouch reduction in patients with previous gastric bypass surgery. Dr. Garber has performed more StomaphyX procedures than anyone in the world.

The procedure was first performed on July 18, 2007 on five patients who underwent laparoscopic gastric bypass several years earlier and had been gaining back some weight because of gradual expansion of their gastric pouches. All had their pouches successfully reduced using the new StomaphyX procedure.

"This is an important new option for the 15 to 20 percent of patients who gain weight a few years after undergoing bariatric surgery", explains Dr. Garber, who also heads the New York Bariatric Group. Because it involves neither abdominal nor internal incisions, this technique is the least invasive, has the lowest risk, and allows patients to recover more quickly and return to their normal activities."

Dr. Garber and his colleague, Spencer Holover, MD, have performed more than 2,000 weight-loss surgeries with the specially trained team at Mercy, which has been designated as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.

"This dramatic advance is the future of bariatric surgery",says Dr. Garber. "The endoluminal technique introduces the instrument that reduces the size of the stomach through the mouth, reducing the risk of infection from surgical incisions, preserving future treatment options, nearly eliminating pain for the patient, and requiring less recovery time than open or even minimally-invasive laparoscopic procedures."

Dr. Garber performed the first StomaphyX™  procedures in the Northeast on July 18, 2007 and has subsequently utilized the technique for more than eighty patients who had previously undergone laparoscopic gastric bypass and had been gaining back some weight because of gradual expansion of their gastric pouches.