Monday, June 8, 2009

TOGA Incisionless Bariatric Surgery

Bariatric or weight loss surgery receives media attention, from time to time, because the surgery has shown to be effective in fighting obesity. Recently, a relative new bariatric surgical procedure was highlighted by the ABC network morning show Good Morning America (GMA). The surgical procedure is called Transoral Gastroplasty or TOGA. The TOGA procedure was created by Satiety Inc, based in Palo Alto, California.

TOGA is an incisionless surgical procedure. This means that the surgery is done using natural body orifices and pathways to access organs within the body. The TOGA procedure accesses the inside-of-the-stomach via the mouth and esophagus.

In the procedure, flexible stabling devices are introduced into the stomach, and the devices are used to bring sides of the stomach together so that the sides can be stapled together to create a small stomach pouch. Surgeons, performing the surgery, view their surgical actions inside the stomach using a lighted scope or endoscope.

An early use of the TOGA incisionless procedure was carried out at Barnes-Jewish Hospital in St. Louis, Missouri, as we reported in one of our August 2008 blog posts. The application of the procedure profiled on GMA was done at Cedars-Sinai Medical Center, located in Los Angeles, California. The TOGA procedure is estimated to cost somewhere between thirteen and twenty thousand dollars. And the procedure appears to be similar, in effectiveness, to lap band surgery.

Indeed, Transoral Gastroplasty will prove to be useful if the procedure produces long-term weight loss, while causing fewer complications compared to other forms of bariatric surgery. As indicated above, some U.S. facilities have used the TOGA procedure. Further study, which is ongoing, will determine if the procedure is a viable option for surgical weight loss providers to offer. At any rate, weight loss product and service providers should monitor TOGA study results.

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