"POSE" minimally invasive bariatric surgery for moderate overweight in Thailand?

[Jingthing]

This is a newer kind of bariatric surgery and as far as I know still under study in the U.S.A.

But it is at least being studied in the U.S.A. and based on this link being practiced in the U.K.

http://spirehealthcare.com/weight-loss-surgery/our-weight-loss-treatments/pose/

What's potentially "revolutionary" about this procedure is that it's indicated for people who want to lose as little as 25 pounds. Traditional bariatric surgery is mostly intended for people with major levels of obesity and morbid obesity. In the U.S. you're talking perhaps the majority of the population that are at least MILDLY overweight! (Ca-ching.)

http://www.huffingtonpost.com/judith-j-wurtman-phd/weight-loss-surgery_b_1438657.html

“Don’t you have to be at least l00 pounds overweight before you can have bariatric surgery?” I asked.

Apparently not. She described a suddenly popular new surgical technique that shrinks the stomach by folding the stomach lining and stitching it in place. Patients who want to lose as little as 25 pounds are going through the procedure because although it requires general anesthetic, there is no cutting of skin or muscle. As some of us gagged, our friend told us that the procedure called POSE, or Primary Obesity Surgery Endoluminal, uses an endoscopy tube that passes through the mouth and esophagus to reach the stomach and then makes tummy tucks

Results rates seem to be encouraging.

I'm posting about this not so much because I want this procedure personally, but I am CURIOUS (and think OTHERS might be) about where it is being done in Thailand and the COST in Thailand. I assume it probably is being done at places like Bumrungrad, at least, but not sure.

I saw an item on BBC (perhaps dated) indicating the cost in the U.S. to be 12,000 dollars. Not covered by insurance because not standard yet and also not usually medically necessary either.

So I wonder what the COST would be in Thailand?

Edited April 23, 2016 by Jingthing

[johnatong]

In the UK this procedure is not provided by the NHS.

A private POSE procedure in the UK would cost circa £6000 (300,000 Bht).

Most providers say the procedure is only suited to those willing to make significant lifestyle changes.

[inbangkok]

Delete

Edited April 23, 2016 by inbangkok

[inbangkok]

In the UK this procedure is not provided by the NHS.

A private POSE procedure in the UK would cost circa £6000 (300,000 Bht).

Most providers say the procedure is only suited to those willing to make significant lifestyle changes.

The strange thing is, if they are willing to make the significant lifestyle changes, they probably would not need the surgery.

[Jingthing]

In the UK this procedure is not provided by the NHS.

A private POSE procedure in the UK would cost circa £6000 (300,000 Bht).

Most providers say the procedure is only suited to those willing to make significant lifestyle changes.

The strange thing is, if they are willing to make the significant lifestyle changes, they probably would not need the surgery.

Not really true at all.

Many people with overweight issues have made significant efforts and come up short.

Especially true for the "last" 25 pounds or so even for those who have been successful long term.

It's a complex issue but that is somehow lost on people who insist it's all about morality.

Scientists know better.

Anyway, it's a given this procedure is not a panacea, and sorry if I failed to mention as it was so OBVIOUS and IMPLIED, that yes, the procedure is only recommended for people dedicated to changes. In addition, the ideal patient has made significant non-surgical efforts but ultimately they didn't achieve the full results they wanted.

Results show with this procedure PLUS making those changes, will generally show better long term results than just the changes.

In any case, the cost info in the U.K. interesting.

Curious about the cost in Thailand.

I reckon it's not cheap here either.

Imagine if it was cheap, like 2,000 dollars, it would selling like hotcakes.

(Don't eat hotcakes.)

But I'm sure it's not that cheap here.

To add I know a few people who got much more invasive bariatric surgery and it didn't real work out because they were not dedicated to changes.

But this thread is only about the POSE, for people with minor levels of overweight that aren't usually particularly a high risk health threat, but more about cosmetics.

Edited April 23, 2016 by Jingthing

[inbangkok]

In the UK this procedure is not provided by the NHS.

A private POSE procedure in the UK would cost circa £6000 (300,000 Bht).

Most providers say the procedure is only suited to those willing to make significant lifestyle changes.

The strange thing is, if they are willing to make the significant lifestyle changes, they probably would not need the surgery.

Not really true at all.

Many people with overweight issues have made significant efforts and come up short.

Especially true for the "last" 25 pounds or so even for those who have been successful long term.

It's a complex issue but that is somehow lost on people who insist it's all about morality.

Scientists know better.

Anyway, it's a given this procedure is not a panacea, and sorry if I failed to mention as it was so OBVIOUS and IMPLIED, that yes, the procedure is only recommended for people dedicated to changes. In addition, the ideal patient has made significant non-surgical efforts but ultimately they didn't achieve the full results they wanted.

Results show with this procedure, making those changes, will generally show better long term results than just the changes.

In any case, the cost info in the U.K. interesting.

Curious about the cost in Thailand.

I reckon it's not cheap here either.

Imagine if it was cheap, like 2,000 dollars, it would selling like hotcakes.

(Don't eat hotcakes.)

But I'm sure it's not that cheap here.

Pretty much 100 percent true. Sorry, but I am unaware of any actual science backing these statements. I used to be very overweight and am not anymore so I do have some first hand experience with this.

I have never heard the last 25 pounds being what people have trouble shedding. I am well aware that the last 5 pounds may be difficult, but there is no reason that someone at a calorie deficit would be unable to lose 25 pounds unless they had a genetic condition. 25 pounds is a lot of extra weight to be carrying around and is not at all healthy.

As for "significant efforts" yet coming up short.... Again 99 percent of the time the "significant efforts" were simply not significant enough.

Science has already told us what we need to know..... Eat at a caloric surplus, get fat. Eat at a deficit, lose weight. I have terrible, terrible metabolism but was still able to lose a ton of weight. Some people simply have to work harder than others.

And no, I don't think it has anything to do with morality. It is simply self control and CHOICES. I am not saying it is always easy (again, I used to be fat). But we are all responsible for the food we put into our mouths. We are also responsible for the amount of exercise (if any) we choose to do.

Edited April 23, 2016 by inbangkok

[Jingthing]

Please only post about POSE here.

If you want to rant with morality arguments, please post on the I'm Too Fat forum. IT IS OFF TOPIC HERE.

The morality purist thing is just so tedious and boring. There have been arguments about that on the forum for years. It's a waste of time and to insist on hijacking this thread into that again is NOT OK.

POSE is being offered, not 100 percent sure it's in Thailand, some people may decide with their DOCTORS, that's it's worthwhile for them.

Does anyone know if and where it is done in Thailand, and the cost? Especially interesting would be reports of personal experience with it.

Again, OFF TOPIC morality arguments are not welcome here. Just say NO.

Edited April 23, 2016 by Jingthing

[inbangkok]

Please only post about POSE here.

If you want to rant with morality arguments, please post on the I'm Too Fat forum. IT IS OFF TOPIC HERE.

The morality purist thing is just so tedious and boring. There have been arguments about that on the forum for years. It's a waste of time and to insist on hijacking this thread into that again is NOT OK.

POSE is being offered, not 100 percent sure it's in Thailand, some people may decide with their DOCTORS, that's it's worthwhile for them.

What does morality or purism have to do with anything? Edited April 23, 2016 by inbangkok

[Jingthing]

This topic is about a very specific thing.

POSE procedure in Thailand.

Hijacking this thread into the same area that has been discussed ad nauseum hundreds of times on the "I'm Too Fat" forum is really not OK.

Anyone who wants to start that again, please start your own thread on that topic and you will have lots of time wasting fun.

Not every topic about a specific aspect touching on overweight needs to be about EVERYTHING about overweight.

Again, here it is only about POSE and if you don't have anything to add about that, please do not post here.

If nobody knows anything about POSE in Thailand, fine.

Edited April 23, 2016 by Jingthing

[inbangkok]

This topic is about a very specific thing.

POSE procedure in Thailand.

Hijacking this thread into the same area that has been discussed ad nauseum hundreds of times on the "I'm Too Fat" forum is really not OK.

Anyone who wants to start that again, please start your own thread on that topic and you will have lots of time wasting fun.

Not every topic about a specific aspect touching on overweight needs to be about EVERYTHING about overweight.

Again, here it is only about POSE and if you don't have anything to add about that, please do not post here.

If nobody knows anything about POSE in Thailand, fine.

OK, fair enough. However, you cannot expect to make a ton of unsubstantiated medical claims about such a thing and feel you somehow have the right to go unchallenged simply because you started the thread and that only you have a right to dictate which type of "off topic" comments are acceptable (ones made by you) and which are not (ones made by others). I am guessing you actually understand this... But I will gladly excuse myself from the thread at this point. Hopefully someone can respond more specifically to your initial post and not your follow up.

[johnatong]

In the UK this procedure is not provided by the NHS.

A private POSE procedure in the UK would cost circa £6000 (300,000 Bht).

Most providers say the procedure is only suited to those willing to make significant lifestyle changes.

The strange thing is, if they are willing to make the significant lifestyle changes, they probably would not need the surgery.

Not really true at all.

Many people with overweight issues have made significant efforts and come up short.

Especially true for the "last" 25 pounds or so even for those who have been successful long term.

It's a complex issue but that is somehow lost on people who insist it's all about morality.

Scientists know better.

Anyway, it's a given this procedure is not a panacea, and sorry if I failed to mention as it was so OBVIOUS and IMPLIED, that yes, the procedure is only recommended for people dedicated to changes. In addition, the ideal patient has made significant non-surgical efforts but ultimately they didn't achieve the full results they wanted.

Results show with this procedure PLUS making those changes, will generally show better long term results than just the changes.

In any case, the cost info in the U.K. interesting.

Curious about the cost in Thailand.

I reckon it's not cheap here either.

Imagine if it was cheap, like 2,000 dollars, it would selling like hotcakes.

(Don't eat hotcakes.)

But I'm sure it's not that cheap here.

To add I know a few people who got much more invasive bariatric surgery and it didn't real work out because they were not dedicated to changes.

But this thread is only about the POSE, for people with minor levels of overweight that aren't usually particularly a high risk health threat, but more about cosmetics.

"To add I know a few people who got much more invasive bariatric surgery and it didn't real work out because they were not dedicated to changes."

True and there are documented cases of those who underwent an invasive procedure and who then resorted to liquidising junk food so to maintain their (addiction?) calorific intake.

[Jingthing]

... But I will gladly excuse myself from the thread at this point. ...

Thank you.

Perfect.

The main reason I stared this on the more serious Health part of this forum instead of the more train wreck free for all "Fat" forum was to attempt to keep this focused on one specific SURGICAL option -- POSE, and info about it's availability and cost in Thailand.

It really isn't about EVERYTHING bariatric either as that is a very large (oops, pun) area.

Only POSE.

Thank you for understanding.

I did a google and got a weak indication that it might be done at Bumrungrad. But nothing definite.

Edited April 23, 2016 by Jingthing