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SMR124 Rev. 2 10/26/10

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Page 1: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

SMR124 Rev. 2 10/26/10

Page 2: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

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

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

SMR134 Rev. 1 10/26/10

Page 3: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

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

SMR134 Rev. 1 10/26/10

Page 4: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

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

SMR134 Rev. 1 10/26/10

Page 5: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

Durable Tissue Anchors Secure Folds in Stomach

Stomach Before & After Superimposed View

SMR134 Rev. 1 10/26/10

Page 6: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

SMR134 Rev. 1 10/26/10

Page 7: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

• 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

SMR134 Rev. 1 10/26/10

Page 8: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

• 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.

SMR134 Rev. 1 10/26/10

Page 9: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

Q: How much weight will I lose?

A: Weight loss will vary patient to patient. The POSE procedure has been designed to

decrease your sensation of being hungry and increase your sensation of being full.

To maximize weight loss results, be sure to ask your doctor about the diet and exercise plan provided.

SMR134 Rev. 1 10/26/10

Page 10: SMR124 Rev. 2 10/26/10. Evolution of Weight Loss Procedures New Option: Incisionless Procedure What is Primary Obesity Surgery, Endolumenal (POSE)? Procedure

SMR134 Rev. 1 10/26/10