Title :

Classification of Slippage Following Laparoscopic BariClip Gastroplasty.

Author(s) :

Noel, Patrick [Auteur]
Olmi, Stefano [Auteur]
Gentileschi, Paolo [Auteur]
Università degli Studi di Roma Tor Vergata [Roma, Italia] = University of Rome Tor Vergata [Rome, Italy] = Université de Rome Tor Vergata [Rome, Italie]
Caiazzo, Robert [Auteur]
Service de chirurgie générale et endocrinienne
Recherche translationnelle sur le diabète (RTD) - U1190
Marciniak, Camille [Auteur]
Service de chirurgie générale et endocrinienne
Pintado, Diana Gabriela Maldonado [Auteur]
Universidad La Salle [México]
Ungson, Gilberto [Auteur]
Alarcon, Vicente [Auteur]
Carandina, Sergio [Auteur]
Manos, Thierry [Auteur]
Shamoun, John M. [Auteur]
Zundel, Natan [Auteur]
University at Buffalo [SUNY] [SUNY Buffalo]
Lutfi, Rami Edward [Auteur]
Ponce, Jaime [Auteur]
Nedelcu, Marius [Auteur]

Journal title :

Obesity Surgery

Abbreviated title :

Obes Surg

Volume number :

33

Pages :

3317–3322

Publisher :

Springer Verlag

Publication date :

2023-08-23

ISSN :

1708-0428

English keyword(s) :

Laparoscopic BariClip gastroplasty
Slippage
Vertical clip gastroplasty
Gastric sleeve
BariClip
Adjustable gastric band
Metabolic bariatric surgery
Obesity

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Introduction Laparoscopic BariClip gastroplasty (LBCG) is a new reversible gastric sleeve-like procedure without gastrectomy proposed to minimize the risk of severe complications. Still one of the possible complications ...
Show more >Introduction Laparoscopic BariClip gastroplasty (LBCG) is a new reversible gastric sleeve-like procedure without gastrectomy proposed to minimize the risk of severe complications. Still one of the possible complications described with LBCG is slippage. The purpose of the current manuscript is to analyze different cases of slippage and propose a classification of this complication. Methods A number of 381 patients who underwent LBCG in 8 different centers were analyzed concerning the risk of slippage. All cases with documented slippage were carefully reviewed in terms of patients’ symptomatology (presence of satiety, vomiting), history of weight loss, radiological data, and management of their slippage. A new classification was proposed depending on the anatomy, the symptomatology, and the time of occurrence. Results We have identified a total of 17 cases (4.46%) of slippage following LBCG. In 11 patients, the slippage was symptomatic with repetitive vomiting and nausea, and in the remaining 6 patients, the slippage was identified by radiological studies for insufficient weight loss, weight regain, or routine radiological follow-up. Depending on the interval time, the slippage was classified as either immediate (in first 7 days) in 6 cases, early (in less than 90 days) in 4 cases, and late (after 3 months) in 7 cases. Evaluation of the radiological studies in these cases identified the following: anterosuperior displacement (type A) in 9 cases, posteroinferior displacement (type B) in 6 cases (one case after 3 months), and lateral displacement (type C) in the remaining 2 cases. The management of the slippage consisted of BariClip removal in 7 cases, repositioning in 5 cases, and conservative treatment in the remaining 5 cases. All patients with conservative treatment were recorded at the beginning of the experience. Conclusions Slippage is a possible complication after LBCG. This classification of the different types of slippage can benefit the surgeon in the management and treatment of this complication of LBCG.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Recherche translationnelle sur le diabète (RTD) - U1190

Submission date :

2024-01-19T22:15:50Z
2024-09-18T14:34:59Z