Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Aug;31(8):3653-3659.
doi: 10.1007/s11695-021-05466-y. Epub 2021 May 12.

Laparoscopic Revision for Gastric Clipping: a Single Center Experience and Taiwan Database Review

Po-Chih Chang  1   2   3   4 , Kai-Hua Chen  5 , Ivy Ya-Wei Huang  2   6 , Chih-Kun Huang  7 , Chung-Yen Chen  8 , Ming-Yu Wang  9 , Ting-Wei Chang  10
Affiliations

Laparoscopic Revision for Gastric Clipping: a Single Center Experience and Taiwan Database Review

Po-Chih Chang et al. Obes Surg. 2021 Aug.

Abstract

Purpose: Laparoscopic gastric clipping (LGC) is a relatively novel restrictive bariatric surgery wherein a horizontal metallic clip is applied to the gastric fundus. Its intraoperative complications or the difficulties associated with the applied gastric clip (GC) during revisional procedures have seldom been mentioned. Herein, the experience of revisional procedures after initial gastric clipping is reported.

Materials and methods: A retrospective cohort review of LGC based on the Taiwan Bariatric Registry of Taiwan Society Metabolic and Bariatric Surgery was performed. Six patients with severe obesity presented for revisional surgery after initial LGC by other surgeons. Patients' characteristics, indications, and details of revisional surgery were recorded.

Results: Between 2012 and 2019, 39 patients who underwent pure LGC and six patients with previous LGC history were referred for revisional surgery. Their mean age and the mean body mass index were 34.7 ± 9.5 years and 38.4 ± 10.5 kg/m2, respectively. Three, two, and one patient underwent revisional surgery for insufficient weight loss, weight recidivism, and intractable belching, respectively. The mean interval between initial LGC and revisional surgery was 40.5 ± 22.4 months. Laparoscopic removal of the GC with concomitant revisional surgeries were collected, including a revision to sleeve gastrectomy (n = 5) and revision to Roux-en-Y gastric bypass (n = 1). Moreover, the mean operative time was 286.8 ± 78.2 min. All patients had uneventful recovery postoperatively but experienced significant adhesion around the GC and the left liver.

Conclusion: Laparoscopic revisional surgery with concomitant GC removal for patients with severe obesity after gastric clipping could be feasibly conducted by experienced bariatric surgeons.

Keywords: Gastric clip; Laparoscopic gastric clipping; Morbid obesity; Revisional bariatric surgery.

PubMed Disclaimer

References

    1. Buchwald H. The evolution of metabolic/bariatric surgery. Obes Surg. 2014 Aug;24(8):1126–35. - DOI
    1. Bray GA, Frühbeck G, Ryan DH, et al. Management of obesity. Lancet. 2016 May 7;387(10031):1947–56. - DOI
    1. Angrisani L, Santonicola A, Iovino P, et al. IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures. Obes Surg. 2018 Dec;28(12):3783–94. - DOI
    1. Steffen R. The history and role of gastric banding. Surg Obes Relat Dis. 2008 May-Jun;4(3 Suppl):S7–13. - DOI
    1. Kodner C, Hartman DR. Complications of adjustable gastric banding surgery for obesity. Am Fam Physician. 2014 May 15;89(10):813–8. - PubMed

LinkOut - more resources