Bariatric or weight loss surgery is becoming a more mainstream answer to long term weight loss. As procedures become less and less invasive the use of surgery as earlier option will become a reality. Less morbidity, less recovery, and less cost is bringing a new development in the field of Weight Loss Surgery into the lime light. The so called TOGA (trans oral gastroplasty) literally sews or staples the stomach from the inside thus restricting the size and giving a person a feeling of being full quickly.
Average weight loss of 25 lbs over 3 months have been achieved. Will the stomach 'stretch out'? So far only the Gastric Bypass has withstood the test of time.
For now I will recommend old fashion behavior modification within a physician supervised program for my patients requiring significant weight loss.