Cedars-sinai Tries Endoscopic Obesity Procedure

Workshop on advanced endoscopic procedures





The experimental procedures were part of the TOGA Pivotal Trial, a Phase III, multi-center study that evaluates an incision-free procedure using the TOGA System (transoral gastroplasty). Like conventional open surgery or laparoscopic band procedures to treat obesity, the TOGA procedure is designed to alter a patient's anatomy to give a sense of fullness after a small meal. The difference is that the investigational technique delivers the treatment through the mouth, without incisions. The first procedure took almost two hours and the second procedure took 90 minutes, according to Edward Phillips, MD, and Gregg Kai Nishi, MD, surgeons in the hospitals Center for Weight Loss Surgery. Everything went exactly as planned, Phillips said. This investigational procedure represents a potential new approach to weight loss surgery. If this non-surgical procedure provides results that are comparable to those of conventional weight loss surgeries, it may provide a good option for patients who need to lose a significant amount of weight but do not wish to have surgery, said Phillips, who is executive vice-chairman of the department of surgery and chief of general surgery at Cedars-Sinai. In the TOGA procedure, a set of flexible stapling devices are delivered through the mouth into the stomach, and the staples create a restrictive pouch for food. In a pilot study being conducted at medical centers in Belgium, Mexico and Italy, 93 subjects have had the procedure since February 2006. During this years Digestive Disease Week, data on 29 of these patients were presented and showed that before the procedure, patients weighed an average of almost 130 pounds over their ideal body weight. The 27 subjects who reached the six-month interval had lost almost 40 percent of their excess body weight, and the nine patients who reached the 12-month interval had lost almost 50 percent of their excess weight. "That's less than we typically see with gastric bypass surgery," said Nishi. knowing it http://www.endonurse.com/news/2008/08/cedars-sinai-tries-endoscopic-obesity-procedure.aspx











Viswanathan Speciality Hospitals on Sunday. The event incorporated a live workshop where endoscopic experts from South India performed various procedures. The workshop and hands- on-course was aimed at introducing endoscopy for diagnostic and therapeutic procedures to physicians, surgeons and post graduate students, said K.Govindaraj, course director and Managing Director of the hospital. As endoscopy is generally not part of the basic curriculum, doctors even at the post graduate level do not get a working knowledge of operating an endoscope, Dr.Govindaraj, told The Hindu. In endoscopic procedures, unlike laparoscopy, a device is inserted through a natural opening in the body to examine internal organs. The hands-on course conducted in two levels introduced basic diagnostic procedures to novices, hitherto unfamiliar with using an endoscope. The second level targeting physicians with a fundamental knowledge, had them practising therapeutic procedures like banding for varicose veins and retrieval of ingested foreign particles. Totally, 17 therapeutic procedures performed by endoscopists from Chennai, Coimbatore, Mysore and Hyderabad at the G. Viswanathan Specialty Hospital were viewed live by 200 delegates at a city hotel. Double balloon enterscopy that allows visualisation of the small intestine and endoscopic ultrasonagram procedures were executed. Delivering the keynote address, K.V. a replacement http://www.thehindu.com/news/cities/Tiruchirapalli/workshop-on-advanced-endoscopic-procedures/article2315836.ece