Early experience with the incisionless operating platform™ (iop) for the treatment of obesity: The primary obesity surgery endolumenal (pose) procedure

J. C. Espinós, R. Turró, A. Mata, M. Cruz, M. Da Costa, V. Villa, J. N. Buchwald, J. Turró

Research output: Contribution to journalArticle


Background: We report our initial experience and 6-month outcomes in a single center using the per-oral Incisionless Operating Platform™ (IOP) (USGI Medical) to place transmural plications in the gastric fundus and distal body using specialized suture anchors (the Primary Obesity Surgery Endolumenal [POSE] procedure). Methods: A prospective observational study was undertaken with institutional Ethics Board approval in a private hospital in Barcelona, Spain. Indicated patients were WHO obesity class I-II, or III, where patients refused a surgical approach. Results: Between February 28, 2011 and March 23, 2012, the POSE procedure was successfully performed in 45 patients: 75.6 % female; mean age 43.4 ± 9.2 SD (range 21.0-64.0). At baseline: mean absolute weight (AW, kg), 100.8 ± 12.9 (75.5-132.5); body mass index (BMI, kg/m2), 36.7 ± 3.8 (28.1-46.6). A mean 8.2 suture-anchor plications were placed in the fundus, 3.0 along the distal body wall. Mean operative time, 69.2 ± 26.6 min (32.0-126.0); patients were discharged in

Original languageEnglish
Pages (from-to)1375-1383
Number of pages9
JournalObesity Surgery
Issue number9
Publication statusPublished - Sep 2013



  • Incisionless Operating Platform (IOP)
  • Obesity
  • Primary Obesity Surgery Endolumenal (POSE)
  • Weight loss

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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