Dr. Marc Antonetti of the South Carolina Obesity Surgery Center, a physician practice affiliated with Lexington Medical Center, successfully completed the first “ROSE procedure” at Lexington Medical Center this week. ROSE stands for Restorative Obesity Surgery, Endoscopic. This procedure is for patients who have gained weight back after gastric bypass surgery. Currently, only approximately 30 facilities in the United States offer this treatment.
“The significance is that it’s the first incisionless surgery in the state of South Carolina,” Dr. Antonetti said.
During ROSE, the surgeon will insert an endoscope through the patient’s mouth into the stomach pouch. The doctor then creates folds to make the stomach pouch smaller. Because there are no external cuts into the body, the procedure offers the advantages of reduced risk of infection, less post-operative pain, faster recovery time and no scars. The treatment can be especially important in South Carolina, which ranks 5th in the nation for obesity.Dr. Marc Antonetti and Dr. Glen Strickland of the South Carolina Obesity Surgery Center completed special training to do the ROSE procedure at the Baylor College of Medicine in Houston, Texas earlier this year.
Some patients regain weight after gastric bypass surgery because of gradual enlargement of the surgically altered small stomach pouch. In weight loss surgery, the stomach pouch is made very small, which creates a feeling of fullness after just a small volume of food is eaten. When the pouch gradually enlarges, the feeling of fullness is no longer present, patients can eat larger meals and weight regain occurs.
Doctors say similar incisionless surgery may have future application for gall bladder surgery and appendectomies.
Dr. Antonetti talked about the innovative procedure on the WVOC Radio Show “Health Matters” broadcast live from Lexington Medical Center on Wednesday.