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Review
. 2025 Jan;35(1):322-328.
doi: 10.1007/s11695-024-07603-9. Epub 2024 Dec 21.

Laparoscopic Vertical Clip Gastroplasty with BariClip Experience, Complications, Literature Review, and Proposal of Modification of the Original Technique

Elkin Benítez Navarrete  1   2 , Manuel García Garza  3   4 , Daniel Islas Treviño  5   3 , Gerardo Enrique Aguirre Garza  5   6 , Patrick Noel  3   4 , Oreiby Alexander Hernandez  7   5 , Natan Zundel  3   4
Affiliations
Review

Laparoscopic Vertical Clip Gastroplasty with BariClip Experience, Complications, Literature Review, and Proposal of Modification of the Original Technique

Elkin Benítez Navarrete et al. Obes Surg. 2025 Jan.

Abstract

Laparoscopic vertical clip gastroplasty (LVCG) with BariClip is a recent procedure that appears to be safe Gentileschi et al. (Obes Surg 33(1):303-12, 2023). The initial complications reported include erosion, slippage, and gastroesophageal reflux. This study aimed to report on the experience of a single surgical group, analyzing three clinical cases, conducting a literature review, and proposing a standardization of the technique. A retrospective study was conducted with data from June 2021 to October 2024. We collected the data from the procedures related to the bariatric clip made by only one surgical group; we collected 69 cases with 1 complication of this surgical group. Additionally, we described 2 clinical cases of complications related to bariatric clips from other surgical institutions and reviewed the literature related to the BariClip experience. The results are related to the evaluation of the technique and compare the different modifications implemented over the last 3 years of follow-up. Furthermore, we aim to share our experience in attending to one of the most concerning complications associated with this procedure. The LVCG is a safe procedure with a low incidence of complications and positive results in %EWL. We propose several modifications to the original technique to further reduce complications, and we share the experience of both treating and resolving some of the complications we encountered.

Keywords: BariClip; Bariatric clip complications; Erosion; Laparoscopic vertical clip gastroplasty.

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Conflict of interest statement

Declarations. Competing interests: Natan Zundel has ownership and served as training surgeon for ABT. Patrick Noel served as training surgeon for ABT. All other authors have no commercial associations that might be a conflict of interest in relation to this article. No fundings were received for this manuscript

References

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