Right now I have the lapband and have had great success with it. However I talk with my doctor about the sleeve often because sometimes banded patients switch to the sleeve if they have any problems.

My doctor then mentioned a sleeve type surgery that can be done endoscopically. This procedure is done by stitching your stomach smaller from the inside and not the outside.

This is some version of the sleeve and is a new way apparently to do this.

I have tried looking on the internet for more info but havent come up with anything.

Has anyone heard of this?

Yep - it's called orifice surgery. Google the following:

gastrectomy through orifice

and a couple of articles will pop up. Be aware that the first one done in the U.S. was just done in August so I would hazard a guess that very few doctors are doing this. In fact the one who did the first one actually specializes in orifice surgery - fascinating what he has managed to pull out of natural body openings.....lol

perfect! Thanks so much! I am going to look it up :confused1:

It is called Plication or vertical sleeve plication. There is a ton of info about it on this website. I am having this surgery in a month..

mine is like a normal sleeve done laproscopically but folding stomach over and sewing vs. cutting and discarding stomach with v s g

Check out the Total Vertical Gastric Plication...forum, it's at the bottom the list of different boards.

has anyone seen a photo of what the stomach looks like after it is stiched? I have found photos of what the stomach looks like from the inside but I want to see what it looks like showing the stomach from the outside.

[nomedia=http://www.youtube.com/watch?v=ZzAmRuez-Cc]YouTube - Dr Cottam perfroms a Gastric Imbrication using EndoFLIP® technology[/nomedia]

youtube! never thought to look. FInally found what I am looking for. Sorry with all the q's this is something I never heard of

[nomedia=http://www.youtube.com/watch?v=nsNEHCoWn1E]YouTube - Las Vegas StomaphyX™ Specialist Bariatric Weight Loss Surgery[/nomedia]

OOOPs My bad - thought you were talking about having no outside the body cutting done. Sorry! lol

Look up the POSE procedure. It is done through your stomach from the inside. I think there is a place in Louisana that does it. It is like the vertical sleeve plication from the inside.

I know that they can re-size a gastric bypass pouch from inside, never heard about a sleeve from the inside.

Here is the information on the POSE procedure

POSE (Primary Obesity Surgery, Endoluminal) Procedure in Louisiana

Bariatric surgeons at The Surgical Specialists of Louisiana have become one of the first teams in the U.S. to perform a new incisionless weight loss procedure called the POSE (Primary Obesity Surgery, Endolumenal) to decrease the capacity of a patient's stomach. The Surgical Specialists of Louisiana is one of the first three sites in the United States to make it available.

The POSE procedure is performed under anesthesia using a small flexible endoscope ? a video camera so that the surgeon can view the operative site on a nearby video monitor ? and a four-channel tube created specifically for incisionless procedures. The POSE is performed entirely through the mouth without making any external incisions into the body. The surgeon inserts the flexible tube and the endoscope through the patient?s mouth and then uses surgical tools to grasp the stomach tissue and deploy suture anchors to create multiple tissue folds in the stomach wall to reduce its volume capacity.

We are one of a few select sites in the country participating in a clinical Data Registry that will follow patients who undergo the incisionless POSE procedure. If you are interested in joining the registry to see if you may qualify for this procedure, please contact us today:thumbup1:

Has anyone had this done? It sound great! Please post of you know of anyone or have had this done and your experience. There isn't much available about it.

Hi can anyone update us with stastics or outcomes for success with this? Rumor has it - it wasn't successful long term.. but it sounds ideal..

Here is the information on the POSE procedure

POSE (Primary Obesity Surgery, Endoluminal) Procedure in Louisiana

Bariatric surgeons at The Surgical Specialists of Louisiana have become one of the first teams in the U.S. to perform a new incisionless weight loss procedure called the POSE (Primary Obesity Surgery, Endolumenal) to decrease the capacity of a patient's stomach. The Surgical Specialists of Louisiana is one of the first three sites in the United States to make it available.

The POSE procedure is performed under anesthesia using a small flexible endoscope � a video camera so that the surgeon can view the operative site on a nearby video monitor � and a four-channel tube created specifically for incisionless procedures. The POSE is performed entirely through the mouth without making any external incisions into the body. The surgeon inserts the flexible tube and the endoscope through the patient�s mouth and then uses surgical tools to grasp the stomach tissue and deploy suture anchors to create multiple tissue folds in the stomach wall to reduce its volume capacity.

We are one of a few select sites in the country participating in a clinical Data Registry that will follow patients who undergo the incisionless POSE procedure. If you are interested in joining the registry to see if you may qualify for this procedure, please contact us today:thumbup1: