• Evolution of Weight Loss Procedures• New Option: Incisionless Procedure• What is Primary Obesity Surgery,

Endolumenal (POSE)?• Procedure Details• Is POSE right for you?

Open Surgery(Roux en Y Gastric

Bypass)

Up to 1 week

6 weeks+

Laparoscopic Surgery

1-3 days

(Gastric Band)

~3 weeks

(POSE)

1 day or outpatient

1-2 days

Scarring

Typical Hospitalization

Typical Recovery

Endoscopic Access Reach stomach through the mouth

Folds stomach tissue from inside Reduces stomach capacity & hunger

No abdominal incisions

No scars, less pain than other laparoscopic or open procedures

Minimally Invasive procedure

Faster recovery, potentially reduced risk of infection and other complications

Confidential procedure, no bandages & minimal down time

Quickly back to work, no one needs to know you have even had a procedure

Durable Tissue Anchors Secure Folds in Stomach Reducing Its Capacity

Stomach Before & After Superimposed View

• Pre-Op physical & nutritional evaluation

• Surgery 60-90 minutes under general anesthesia

• Overnight hospital stay or outpatient procedure

• Follow-up appointments with practice to establish & monitor proper diet and exercise activity

• Complications that may be associated with the procedure include:– Sore throat & nausea – Others include:

• Abrasion• Perforation • Bleeding• Fistula• Inflammatory Reaction

• The procedure is new and long term data is not available yet.

Q: How much weight will I lose?

A: Initial patients who have had this procedure lost an average of 20-25 pounds in the first 6 months following their POSE procedure. Results did vary by patient.

To realize the full benefits of the procedure, you must commit to following the diet, exercise and nutritional counseling programs that your physician prescribes.