The POSE Procedure (Primary Obesity Surgery Endoluminal) is a ground-breaking new incisionless weight loss procedure! It allows skilled surgeons to go down through the mouth with a scope and “suture” the stomach from the inside. During the 30 minute, outpatient procedure, patients are sedated and these “sutures” are used to reduce the size of the stomach. Afterwards, patients feel full on less food. It’s the first permanent, incisionless, weight loss procedure that has been shown to have good results out to at least 12 months and a low complication rate.
To learn more about POSE watch this video narrated by Dr. Curry!
In the past, endoscopic suturing has had a high failure rate, but the POSE device uses Nitinol “anchors” at each side to distribute force over a much wider surface area. This results in a much more durable suture which, like traditional old-fashioned sutures, is very unlikely to fail.
As always, the success of this procedure depends on the patient making a commitment to a lifestyle change including lower-carb foods and regular exercise. The short-term results for this procedure are excellent, and being able to return to work in a couple of days with no incisions is certainly appealing!
The largest published series of POSE patients comes out of Spain from the University Hospital in Madrid. Their series looked at 277 patients over 12 months and found:
- The average BMI was 38
- There were no serious short-term or long-term adverse events
- All patients were discharged less than 24 hours from the procedure
- Patients lost an average of 62% excess body weight (40-45 lbs)
The device is alreadyy approved in the U.S. by the FDA for tissue approximation, but is currently undergoing an FDA study called the ESSENTIAL Trial, to determine if this device will receive an indication for weight loss.
Watch this video from “The Doctors” illustrating how the procedure is done and what the hardware looks like to do it: