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
Case Reports
. 2022 Jul-Sep;18(3):463-465.
doi: 10.4103/jmas.jmas_229_21.

Revisional sleeve gastrectomy after failed gastric clipping for obesity: Report of two cases and review of literature

Chun Yen  1 , Wei-Ting Tsai  2 , Hsin-Mei Pan  3 , Kuo-Feng Hsu  3
Affiliations
Case Reports

Revisional sleeve gastrectomy after failed gastric clipping for obesity: Report of two cases and review of literature

Chun Yen et al. J Minim Access Surg. 2022 Jul-Sep.

Abstract

Laparoscopic gastric clipping (LGC) is one of the bariatric surgeries that are minimally invasive and demonstrates effectiveness in reducing body weight for obese patients. However, the patients may later regain body weight and other treatments may be needed. In this case report, two cases with obesity received LGC, which initially reduced their weight. However, they presented with a progressive regaining of body weight a few years after the surgery. Thus, revisional sleeve gastrectomy was conducted in an institute to control their weight regain. Postoperative courses were smooth, and there was no complication. Thus, laparoscopic removal of gastric clipping accompanied with revisional sleeve gastrectomy is technically feasible for the patients.

Keywords: Body weight regain; gastric clipping; laparoscopic sleeve gastrectomy; obesity; revision.

PubMed Disclaimer

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Images of patient 1. (a) Chest plain film showing a metallic gastric clip over the gastroesophageal junction. (b) Severe adhesion between the lesser curvature and the left lobe of the liver. (c) Specimen and the retrieved gastric metallic clip
Figure 2
Figure 2
Images of patient 2. (a) Chest plain film showing a metallic gastric clip over the gastroesophageal junction. (b) Hiatal hernia repair with absorbable mesh after adhesiolysis and removal of gastric clip. (c) Specimen and retrieved gastric metallic clip
See this image and copyright information in PMC

References

    1. Chao SH. Gastric clipping for morbid obesity: The initial results of a clinical trial. World J Surg. 2010;34:303–8. - PubMed
    1. Chuang HY, Huang CK, Chang PC. Laparoscopic conversion to sleeve gastrectomy after gastric clipping for morbid obesity-video presentation. Obes Surg. 2019;29:1433. - PubMed
    1. Chao SH, Lin CL, Lee WJ, Chen JC, Chou JJ. Proximal Jejunal bypass improves the outcome of gastric clip in patients with obesity and type 2 diabetes mellitus. Obes Surg. 2019;29:1148–53. - PubMed

Publication types