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    Conversion of aspireassist system® to sleeve gastrectomy. Technical video description revisional surgery
    (Springer, 2019) Sanchez-Cordero, Sergi; Vilallonga, Ramon; Bademci, Refik; Roriz-Silva, Renato; Curbelo, Yuhamy; Almanza, Ariel; Perez, Manolo; Riudaura, N.; Pares, Berta; Petrolas, C.
    [Abstract Not Available]
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    Conversion of aspireAssist system® to sleeve gastrectomy: Technical video description
    (Springer, 2019) Vilallonga, Ramon; Bademci, Refik; Roriz-Silva, Renato; Sanchez-Cordero, Sergi; Curbelo, Yuhamy; Almanza, Ariel
    Purpose: The AspireAssist System® (Aspire Bariatrics, Inc. King of Prussia, PA) is a new endoscopic procedure used to treat obese patients. The aim of this dedicated video is to present a case that required revision surgery due to failure of the AspireAssist System®, and to show how the cannula was removed from the abdomen, and why sleeve gastrectomy (SG) was a good option for revisional surgery in that patient. We aim to discuss technical aspects. Patient and Methods: A 43-year-old female patient who underwent a placement in 2016. Her initial BMI (body mass index) was 38 kg/m2, with a follow-up period of 26 months. A revisional surgery was performed including dissection of the previous gastric fistula and adhesiolysis from the previous AspireAssist System® placement. A complete dissection of the gastrostomy, including removal of all the system, was done. A decision was made, once the incisura angularis and the placement of a 40 Fch bougie showed that the transection could be performed. SG was done. Patients showed an uneventful postoperative course and 4 months follow-up with 45% EWL. Conclusion: In case of having the device in place, the surgeon must be aware to remove intraoperatively or endoscopically, the device. Surgeons should consider endoscopic removal of the AspireAssist System® before conversion to another procedure (SG or GBP) at least 6 months of the removal. Removal of the AspireAssist System® should be performed endoscopically but direct conversion to another bariatric procedure can be considered, either to SG or GBP depending on the technical intraoperative aspects.
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    Laparoscopic conversion from single anastomosis duodeno-jejunal bypass with sleeve gastrectomy (SADJ-S) to roux-en-Y gastric bypass (GBP): Improving unsatisfactory outcomes
    (Springer New York LLC, 2020) Vilallonga, Ramon; Curbel, Yuhamy; Sanchez-Cordero, Sergi; Roriz-Silva, Renato; Bademci, Refik; Torres, Antonio Jose
    Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) can be considered as either a primary procedure or second stage procedure. Malnutrition is rare but could lead to a reversal of the SADI-S. The aim of this manuscript is to present the management and technique of weight regain after proximalization of a SADI-S by converting it to a gastric bypass.
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    Robotic Roux-En-Y gastric bypass: Comparison of Da Vinci S and Xi Robotic platforms outcomes robotic bariatric surgery
    (Springer, 2019) Roriz Silva, Renato; Vilallonga, Ramon; Manuel Fort, Jose; Caubet, Enric; Gonzalez, Oscar; Ruiz De Gordejuela, A. Garcia; Guerrero Gual, Mireia; Fidillo, E.; Blanco, Raymond; Bademci, Refik; Kraft Carre, M.
    Robotic surgery is an emerging and promising technology in bariatric surgery. Current studies have confirmed its feasibility and safety with a relatively short learning curve. The advantages for the surgeon are already well established with better ergonomics. The potential benefits to the patient are still being studied. Robotic surgery seems to offer more advantages for complex cases, such as super obesity and revisional surgery.