Medical Staff Pulse is
a Publication of the Chief of Staff
Center for Weight Loss Surgery Part of Trial

No scalpel required for new obesity procedure

Edward Phillips, M.D., and Gregg Kai Nishi, M.D., of the Center for Weight Loss Surgery recently performed the first two non-surgical stomach-reducing procedures in the Western United States.

The transoral gastroplasty (TOGA) procedure - part of the TOGA Pivotal Trial - creates a smaller pouch in the stomach that gives patients a sense of fullness with less food, similar to the results of conventional "open" surgery treatments for obesity. The TOGA procedure differs in that a set of flexible stapling devices are put into the stomach through the mouth - not an incision.

Data from a pilot study being conducted in Belgium, Mexico and Italy showed patients had less weight loss than with traditional gastric bypass surgery, but Dr. Nishi points out endoscopic procedures usually allow for a faster recovery.

At Cedars-Sinai, the first two patients - women ages 34 and 40 - were given general anesthesia and stayed overnight. Depending on study results, Dr. Phillips anticipates eventually the TOGA procedure will be performed on an outpatient basis with sedation. The first procedure took one hour and 49 minutes and the second, 90 minutes.

The TOGA trial will look at the technique in at least 275 patients at centers across the United States. About 20 volunteers will be enrolled at Cedars-Sinai. For more information, call 1-866-678-8399 or visit www.togaclinicalstudy.com.

How the TOGA procedure works.