BariClip: Outcomes and Complications from a Single-Center Experience.
B-Clamp
BariClip
Bariatric surgery
GERD
High-resolution manometry
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
07 Oct 2024
07 Oct 2024
Historique:
received:
13
09
2024
accepted:
24
09
2024
revised:
23
09
2024
medline:
7
10
2024
pubmed:
7
10
2024
entrez:
7
10
2024
Statut:
aheadofprint
Résumé
Laparoscopic BariClip gastroplasty (LBCG) is a new reversible bariatric procedure designed to replicate the restrictive effects of laparoscopic sleeve gastrectomy (LSG) by placing a clip vertically on the stomach. This technique achieves gastric lumen restriction without the need for resection, ensuring organ preservation and reversibility. However, concerns have arisen regarding potential complications such as gastroesophageal reflux disease (GERD), slippage, or erosion of the stomach. The aim of the study is to evaluate the outcomes and complications of LBCG. This is a monocentric retrospective study. We analyzed 149 patients who underwent LBCG procedure between July 2021 and November 2023. A minimum follow-up period of 6 months was observed for all patients, recording clinically relevant GERD through GERD-Q score questionnaires. Weight loss was monitored through body mass index (BMI) and % total weight loss (%TWL), registered during follow-up visits. Overall, 149 patients were eligible for this study. Overall complication rate was 8% (12/149). The average BMI went from 40 ± 4.37 kg/m LBCG remains an experimental procedure that must be approached with caution. Nonetheless, the potential of LBCG to reproduce the effects of LSG while reducing GERD makes it a promising new reversible option for the treatment of morbid obesity.
Sections du résumé
BACKGROUND
BACKGROUND
Laparoscopic BariClip gastroplasty (LBCG) is a new reversible bariatric procedure designed to replicate the restrictive effects of laparoscopic sleeve gastrectomy (LSG) by placing a clip vertically on the stomach. This technique achieves gastric lumen restriction without the need for resection, ensuring organ preservation and reversibility. However, concerns have arisen regarding potential complications such as gastroesophageal reflux disease (GERD), slippage, or erosion of the stomach. The aim of the study is to evaluate the outcomes and complications of LBCG.
METHODS
METHODS
This is a monocentric retrospective study. We analyzed 149 patients who underwent LBCG procedure between July 2021 and November 2023. A minimum follow-up period of 6 months was observed for all patients, recording clinically relevant GERD through GERD-Q score questionnaires. Weight loss was monitored through body mass index (BMI) and % total weight loss (%TWL), registered during follow-up visits.
RESULTS
RESULTS
Overall, 149 patients were eligible for this study. Overall complication rate was 8% (12/149). The average BMI went from 40 ± 4.37 kg/m
CONCLUSIONS
CONCLUSIONS
LBCG remains an experimental procedure that must be approached with caution. Nonetheless, the potential of LBCG to reproduce the effects of LSG while reducing GERD makes it a promising new reversible option for the treatment of morbid obesity.
Identifiants
pubmed: 39373816
doi: 10.1007/s11695-024-07522-9
pii: 10.1007/s11695-024-07522-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Fink J, Seifert G, Blüher M, et al. Obesity surgery. Dtsch Arztebl Int. 2022;119(5):70–80. https://doi.org/10.3238/arztebl.m2021.0359 .
doi: 10.3238/arztebl.m2021.0359
Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg. 2015;25(10):1822–32. https://doi.org/10.1007/s11695-015-1657-z .
doi: 10.1007/s11695-015-1657-z
Gagner M. Obesity: sleeve gastrectomy-the ideal choice for weight-loss surgery. Nat Rev Endocrinol. 2013;9(7):382–4. https://doi.org/10.1038/nrendo.2013.100 .
doi: 10.1038/nrendo.2013.100
Felinska E, Billeter A, Nickel F, et al. Do we understand the pathophysiology of GERD after sleeve gastrectomy? Ann N Y Acad Sci. 2020;1482(1):26–35. https://doi.org/10.1111/nyas.14467 .
doi: 10.1111/nyas.14467
Ozsoy Z, Demir E. Which bariatric procedure is the most popular in the world? A bibliometric comparison Obes Surg. 2018;28(8):2339–52. https://doi.org/10.1007/s11695-018-3163-6.Erratum.In:ObesSurg.2018Mar16 .
doi: 10.1007/s11695-018-3163-6.Erratum.In:ObesSurg.2018Mar16
Uccelli M, Cesana GC, Ciccarese F, et al. Laparoscopic sleeve gastrectomy with Rossetti fundoplication: long-term (5-year) follow-up. Surg Obes Relat Dis. 2022;18(10):1199–205. https://doi.org/10.1016/j.soard.2022.05.012 .
doi: 10.1016/j.soard.2022.05.012
Olmi S, Cesana G, Gambioli A, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve + Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study. Obes Surg. 2022;32(5):1451–8. https://doi.org/10.1007/s11695-022-05955-8.Erratum.In:ObesSurg.2022Mar24 .
doi: 10.1007/s11695-022-05955-8.Erratum.In:ObesSurg.2022Mar24
Noel P, Eddbali I, Nedelcu M. Laparoscopic clip gastroplasty with the BariClip. Obes Surg. 2020;30(12):5182–3. https://doi.org/10.1007/s11695-020-04803-x .
doi: 10.1007/s11695-020-04803-x
Vakil N, van Zanten SV, Kahrilas P, Global Consensus Group, et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101(8):1900–20. https://doi.org/10.1111/j.1572-0241.2006.00630.x . quiz 1943.
doi: 10.1111/j.1572-0241.2006.00630.x
Zellmer JD, Mathiason MA, Kallies KJ, et al. Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis. Am J Surg. 2014;208:903–10.
doi: 10.1016/j.amjsurg.2014.08.002
Kargi, et al. Complications of sleeve gastrectomy: a systematic review. Obes Surg. 2017;27(12):3166–79. https://doi.org/10.1007/s11695-017-2752-6 .
doi: 10.1007/s11695-017-2752-6
Jacobs M, Zundel N, Plasencia G, et al. A vertically placed clip for weight loss: a 39-month pilot study. Obes Surg. 2017;27(5):1174–81. https://doi.org/10.1007/s11695-016-2432-5 .
doi: 10.1007/s11695-016-2432-5
Noel P, Nedelcu AM, Eddbali I, et al. Laparoscopic vertical clip gastroplasty - quality of life. Surg Obes Relat Dis. 2018;14(10):38–9. https://doi.org/10.1016/j.soard.2018.07.013 .
doi: 10.1016/j.soard.2018.07.013
Gu L, Chen B, Du N, et al. Relationship between bariatric surgery and gastroesophageal reflux disease: a systematic review and meta-analysis. Obes Surg. 2019;29(12):4105–13. https://doi.org/10.1007/s11695-019-04218-3 .
doi: 10.1007/s11695-019-04218-3
Gentileschi P, Campanelli M, Sensi B, et al. Safety and efficacy of laparoscopic vertical clip gastroplasty: early results of an Italian multicenter study. Obes Surg. 2023;33(1):303–12. https://doi.org/10.1007/s11695-022-06364-7 .
doi: 10.1007/s11695-022-06364-7
Noel P, Layani L, Manos T, et al. The reflux and BariClip: initial results and mechanism of action. J Clin Med. 2022;11(22):6698. https://doi.org/10.3390/jcm11226698 .
doi: 10.3390/jcm11226698