The StomaphyX device is an endoluminal fastener and delivery system that mechanically reduces the size of stretched pouch, reducing it back to the size after your original weight loss surgery .

StomaphyX was approved by the FDA for transoral non-invasive tissue approximation (connection) and full-thickness plication (creation of folds) in the Gastrointestinal (GI) tract. Stomaphyx is often used by weight loss surgeons to reduce the size of the stomach pouch created in the gastric bypass procedure. StomaphyX is a secondary procedure that addresses stomach pouch stretching, a possible long term side effect of roux-en-Y gastric bypass over the long-term. As a result of the pouch stretching, many patients will begin to regain weight.

The esophagus and stomach can be accessed and viewed without the need for any incisions. By using a a high definition camera called the fiberoptic gastroscope (which is similar to a colonscope for the colon), the StomaphyX device is inserted into the mouth and guided down to the stomach with the fiberoptic endoscope. Once inside the stomach pouch, the StomaphyX tool pleats and staples the stomach to make the pouch smaller, helping patients re-lose some of the weight that they’ve regained.

Who Benefits from StomaphyX?

  • Gastric Bypass patients who have regained weight or want to lose more weight
  • Duodenal Switch patients who want more restriction
  • Sleeve Gastrectomy patients who want more restriction in the remaining stomach
  • Those with stomach fistula or leak
  • Those with severe dumping syndrome
  • Those with low blood sugar (hypoglycemia) from late dumping

The procedure lasts about 20-30 minutes and is generally considered safe. Because of its minimally invasive nature, most patients will be able to return to work within 1 to 2 days. Risks are much lower than a traditional revisional surgery.

The risks of this procedure can be drastically reduced by having an experienced surgeon perform the operation. The procedure is relatively new however, so while clinical data shows that StomaphyX is very safe and effective, there is no long-term data to back that up.