Hui-Yu Chuang1, Chih-Kun Huang2, Po-Chih Chang3,4,5,6. 1. Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan. 2. Body Science and Metabolic Disorders International (BMI) Medical Center, China Medical University Hospital, Taichung City, Taiwan. 3. Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital/Kaohsiung Medical University, No. 100, Tzyou 1st Road, Kaohsiung City, 80756, Taiwan. dr.changpochih@hotmail.com. 4. Weight Management Center, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan. dr.changpochih@hotmail.com. 5. Translation Research Center, Kaohsiung Medical University Hospital/Kaohsiung Medical University, Kaohsiung City, Taiwan. dr.changpochih@hotmail.com. 6. Department of Sports Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan. dr.changpochih@hotmail.com.
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.
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.