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31.01.2019 | Video Submission | Ausgabe 4/2019

Obesity Surgery 4/2019

Laparoscopic Conversion to Sleeve Gastrectomy After Gastric Clipping for Morbid Obesity—Video Presentation

Zeitschrift:
Obesity Surgery > Ausgabe 4/2019
Autoren:
Hui-Yu Chuang, Chih-Kun Huang, Po-Chih Chang
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s11695-019-03709-7) contains supplementary material, which is available to authorized users.

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Abstract

Purpose

Laparoscopic gastric clipping is a relatively novel bariatric surgical procedure, which can yield significant weight loss via a restriction of gastric expansion. Medical literature regarding the postoperative complications of this procedure is currently scarce. To this end, we submit here a video presentation of a corrective laparoscopic gastric sleeve procedure performed after an initial gastric clipping that failed to provide adequate weight loss and led to intractable belching.

Materials and Methods

A 40-year-old, morbidly obese woman (initial body mass index is 35.3 kg/m2) presented with intractable belching and minimal weight loss 6 months after initial laparoscopic gastric clipping at another institution. A laparoscopic revisional procedure with gastric clip removal and conversion to sleeve gastrectomy was conducted to relieve her condition.

Results

The procedure took 270 min without any intraoperative complications. Blood loss was recorded at 100 mL. The patient had an uneventful postoperative course with a postoperative hospital stay of 2 days. The patient’s symptoms were relieved successfully after this revisional surgery.

Conclusion

Laparoscopic removal of gastric clip with concomitant revision to sleeve gastrectomy is technically feasible in our patient.

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