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

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.

Keywords: Belching; Complication; Laparoscopic gastric clipping; Laparoscopic sleeve gastrectomy; Revisional surgery.