--- title: Therapy for Obesity description: obesity, obesity surgery, incisionless surgery image: https://www.starpoli.com/hs-fs/hub/47367/file-576039098.jpg?t=1394636835000 --- [![Header Logo](https://www.starpoli.com/hs-fs/hubfs/GVG_Deep%20Blue.png?width=194&height=96&name=GVG_Deep%20Blue.png "Header Logo")](https://www.starpoli.com) - [Reflux / Heartburn](https://www.starpoli.com/reflux-gerd-heartburn) - [Acid Reflux / Heartburn](https://www.starpoli.com/heartburn) - [GERDX](https://www.starpoli.com/gerdx) - [The EsophyX TIF Procedure](https://www.starpoli.com/esophyx) - [Stretta](https://www.starpoli.com/stretta) - [GERD Treatment Options](https://www.starpoli.com/gerd-options) - [BARRX Ablation Procedure](https://www.starpoli.com/treating-barretts-esophagus-0) - [Treating Barrett's Esophagus](https://www.starpoli.com/treating-barretts-esophagus) - [Abdominal Pain](https://www.starpoli.com/helio) - [Gastritis / Helicobacter Pylori](https://www.starpoli.com/helio) - [Peptic Ulcer Disease](https://www.starpoli.com/peptic) - [IBS / Constipation](https://www.starpoli.com/irritable-bowel-syndrome-nyc) - [Irritable Bowel Syndrome](https://www.starpoli.com/irritable-bowel-syndrome-nyc) - [Constipation](https://www.starpoli.com/constip) - [Lactose Intolerance](https://www.starpoli.com/lactose) - [Bacterial Overgrowth (SIBO)](https://www.starpoli.com/bacterial) - [Fecal Incontinence and Solesta](https://www.starpoli.com/fecal-incontinence-and-solesta) - [Probiotic Supplements](https://www.starpoli.com/probiotics) - [Hemorrhoids](https://www.starpoli.com/hemorrhoids) - [Hemorrhoids / CRH Hemorrhoidal Banding](https://www.starpoli.com/hemorrhoids) - [Infrared Coagulation](https://www.starpoli.com/hemorrhoids) - [Colitis](https://www.starpoli.com/colitis) - [Colon Polyps & Cancer](https://www.starpoli.com/colon) - [Liver Disorders (e.g. Hepatitis)](https://www.starpoli.com/hepatis) - [Weight Loss](https://www.stopobesity.com) - [Overweight Facts](https://www.stopobesity.com) - [Intragastric Balloons for Weight Control](https://www.stopobesity.com) - [Endoscopic Sleeve Gastroplasty](https://www.stopobesity.com) - [Gastric Bypass Failure - Revision & Repair](https://www.stopobesity.com) - [Nutritional & Behavioral Weight Management](https://www.stopobesity.com) - [BMI Calculator](https://www.starpoli.com/obesity-0/bmi-calculator) - Procedures - [GERDX](https://www.starpoli.com/gerdx) - [The EsophyX TIF Procedure](https://www.starpoli.com/esophyx) - [Stretta](https://www.starpoli.com/stretta) - [Stomach Balloons for Obesity](https://www.starpoli.com/obesity-balloons) - [Endoscopic Suturing for Obesity](https://www.starpoli.com/esg) - [CRH Hemorrhoidal Banding](https://www.starpoli.com/roids-0) - [Colonoscopy](https://www.starpoli.com/procedures/colonoscopy) - [Upper Endoscopy](https://www.starpoli.com/procedures/upper-endoscopy) - [BARRX Ablation Procedure](https://www.starpoli.com/treating-barretts-esophagus-0-0) - [Radiation Change Therapy](https://www.starpoli.com/radiation) - [Infrared Coagulation](https://www.starpoli.com/roids-0) - Aesthetics - [Medical Body Shaping of the Hudson Valley](https://www.hvbodyshaping.com) - Store and media - [Health Supplements & More](https://www.starpoli.com/supplements) - [Dr. Radio](https://www.starpoli.com/blog/dr-radio) - [In the News](https://www.starpoli.com/files-links) - [Video Forum](https://www.starpoli.com/forum) - [Dr. Starpoli's Blog](https://www.starpoli.com/blog) # Therapy for Obesity [By Rachel Jones](https://www.starpoli.com/blog/author/rachel-jones) March 12, 2014 - - - Americans who suffer from either being obese or have gastrointestinal issues can now undergo an incisionless surgical procedure that will control or eradicate their medical challenges with limited pain and reduced surgical recovery time.   **Incisionless**** Reflux Surgery** There is now an incisionless alternative for suffers of gastroesophageal reflux disease or GERD.  [GERD is a steadily increasing phenomenon ](http://www.columbiasurgery.net/2013/02/15/gerd-incisionless-endoscopic-treatment-now-available/)in the nation that is in direct correlation to the surge in obesity in America. With the new improved incisionless surgical procedures, patients no longer have to be tied to continuous use of medications or be subjected to open invasive surgical procedures.  The EsophyX Transoral Incisionless Fundoplication (TIF) procedure is one such technique that is successful in about 80% of cases.                                 ![weight-loss_pic](https://www.starpoli.com/hs-fs/hub/47367/file-576039098.jpg?t=1394636835000&width=280&name=file-576039098.jpg) **Obesity Incisionless Surgery** There are many obese patients who have undergone gastric bypass surgery and it did not work out.  If you experienced weight regained after gastric bypass surgery there is a wonderful proven surgical option to treat your weight regain. It is a less [invasive surgical option](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264898/) that will allow your doctor to treat your obesity challenge safely without leaving a single scar. The obesity surgery option utilizes endoscopic instruments which are totally FDA approved.  They will effectively decrease the stoma size which will result in weight loss.  The procedure actually introduces the endoscopic suturing device through your mouth and once it reaches the stomach pouch and stoma sutures are placed in them.  Your food intake will be restricted due to the restricted size of the stoma and stomach pouch.  One of the benefits of this noninvasive procedure is that your post operative recovery time is lessened and you will experience minimal pain. This technique is known as Endolumenal Revision of Obesity Surgery and is also referred to as the EROS Procedure.   **New Advances in Surgical Procedures** There are additional innovative procedures that are being developed for those who have obese issues and these options are proving successful.  [Intragastric balloon use has increased in use ](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264898/)recently and is a simple and incisionless procedure.  An inert balloon is inserted endoscopically into your stomach and is then inflated and is kept in place for six to twelve months, and is then removed.                                              ![lgBalloon-Diagram](https://www.starpoli.com/hs-fs/hub/47367/file-576162613.png?t=1394637734000&width=170&height=168&name=file-576162613.png) Endoscopic surgeons are also investigating duodenojejunal bypass sleeves which are inserted endoscopically through the mouth. Patients who utilized this option [experienced a 22 percent excess weight loss in 12 weeks](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264898/)compared to the patients that simply were on a low-fat diet. These medical trials were conducted in Boston. Another promising minimally invasive procedure is[ endolumenal suturing](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264898/), which takes about 45 minutes and is performed on an outpatient basis. The endoluminal vertical gastroplasty was done by using continuous sutures. Three groups of patients were studied and after 12 months[ the groups had loss 49%, 56%, and 85% respectively](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264898/). [Obesity](https://www.starpoli.com/blog/topic/obesity) [incisionless surgery](https://www.starpoli.com/blog/topic/incisionless-surgery) [obesity surgery](https://www.starpoli.com/blog/topic/obesity-surgery) [All posts](https://www.starpoli.com/blog) ##### You might also like ![obesity-and-chronic-disease-the-scary-facts-you-need-to-know](https://www.starpoli.com/hs-fs/hubfs/obesity%20and%20chronic%20diseases-1-1.webp?width=193&height=129&name=obesity%20and%20chronic%20diseases-1-1.webp) [Obesity and Chronic Disease: The Scary Facts You Need to Know](https://www.starpoli.com/blog/obesity-and-chronic-disease-the-scary-facts-you-need-to-know) March 12, 2014 ![incisionless-anti-reflux-therapy-a-chance-to-stop-your-reflux-drugs](https://www.starpoli.com/hs-fs/hubfs/acid_reflux-resized-600_1_1%20(1).webp?width=193&height=129&name=acid_reflux-resized-600_1_1%20(1).webp) [Incisionless Anti-reflux Therapy: a chance to stop your reflux drugs.](https://www.starpoli.com/blog/incisionless-anti-reflux-therapy-a-chance-to-stop-your-reflux-drugs) March 12, 2014 ![to-balloon-fix-or-not-to-balloon-fix-for-weight-loss](https://www.starpoli.com/hs-fs/hubfs/shutterstock_269044427.webp?width=193&height=129&name=shutterstock_269044427.webp) [To Balloon Fix or Not to Balloon Fix for Weight Loss](https://www.starpoli.com/blog/to-balloon-fix-or-not-to-balloon-fix-for-weight-loss) March 12, 2014 [Faqs](https://www.starpoli.com/cs/c/?cta_guid=e719a302-ea8a-4fdb-ad84-47850a76ff86&signature=AAH58kGsrRgKAN0zr4UmTRP9NNWkF9L1Kw&pageId=67839153800&placement_guid=23b7209b-b2b1-4235-b4bf-5360dac0570c&click=bff54823-edee-4353-b576-80e8a483bf51&hsutk=9491909e9aaba689d64791264c2af579&canon=http%3A%2F%2Fwww-starpoli-com.sandbox.hs-sites.com%2Facid-reflux&portal_id=47367&redirect_url=APefjpFn_Ipt0XN47bdT02dCjskilMAij2owVci3uUz_x1Hwky1D16RQZDTV3NCGhZAYJrC-AIHFHAEvSn16D6RoyfTKuKGaL2Scq5ajNTSPJJh9laST0eXdp5TvPc56ta7Hy32Dw0zGjA0KwsY5B2xY2DMlkd3y6zL_JIJmZrvY7Cbd3x5JCYAsLhmqHloew_UQEJWvuydy8TCJ2qQQhrYFk4Ga9NRivTA-dqmToztLQCOr985swynfQ7VPLEM-X12vXY6CgyuX&__hstc=233546881.9491909e9aaba689d64791264c2af579.1646575594428.1646575594428.1646575594428.1&__hssc=233546881.1.1646575594430) [Ask the Doctor](https://www.starpoli.com/cs/c/?cta_guid=7b24f21f-19e8-40cb-a264-bc6d55874c7c&signature=AAH58kF8ewQAXB13c3M7YcEuvBeVAICE1g&pageId=67839153800&placement_guid=fbf72da4-a7b3-4a45-aa84-3e34e6b13c93&click=97b7ef4c-baca-4c4a-9d91-10b06f9ca46b&hsutk=9491909e9aaba689d64791264c2af579&canon=http%3A%2F%2Fwww-starpoli-com.sandbox.hs-sites.com%2Facid-reflux&portal_id=47367&redirect_url=APefjpESUTC7EufKxE0fU_vjEsydbZ4zNf7vZafH0T94QRVQw8AY98tlGIo4FzfhbKi31x_H-yEHyfgb5jrmWCDRl8ReSR2w63piwbBHVVqQ-SisG_Cq2nPZI4w2zE--jYPPHgUamwCSc6APCVlBzOXRJZXuCuD9HQpQIPbOw-EFsHqau6gM6aHQabN9x0YWEiYylz_g6JG1ZDRVoD_ovV7YQ7xi7J_xPZ2xFfTejDtLUkMAFcK1SCp58XjSRGIJrOrbjz7B3jEv&__hstc=233546881.9491909e9aaba689d64791264c2af579.1646575594428.1646575594428.1646575594428.1&__hssc=233546881.1.1646575594430) [Patient Portal](https://1209.portal.athenahealth.com/?&__hssc=&__hstc&hsCtaTracking=42d519d5-7dc8-4894-93e5-675f6d134128%7Cec669b6d-1a66-47e8-ac5d-9d55d49c8dfa) [Schedule with us](https://www.starpoli.com/schedule-appt/?hsLang=en-us) [![Greenwich Village Gastroenterolog](https://www.starpoli.com/hs-fs/hubfs/New-website/footer_logo.png?width=141&height=70&name=footer_logo.png) ](https://www.starpoli.com) ** 80 5th Ave. Suite 1605 New York, NY 10011 ** 55 Montgomery St. Poughkeepsie, NY 12601 **[ 212 673 2721](tel:12126732721) **[ 845 471 1354 ](tel:18454711354) ** info@starpoli.com - 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