Conversion of aspireAssist system® to sleeve gastrectomy: Technical video description

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dc.authorid0000-0001-9378-4438
dc.contributor.authorVilallonga, Ramon
dc.contributor.authorBademci, Refik
dc.contributor.authorRoriz-Silva, Renato
dc.contributor.authorSanchez-Cordero, Sergi
dc.contributor.authorCurbelo, Yuhamy
dc.contributor.authorAlmanza, Ariel
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:41Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:41Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractPurpose: 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.
dc.identifier.citationVilallonga, R., Bademci, R., Roriz-Silva, R., Sanchez-Cordero, S., Curbelo, Y. ve Almanza, A. (2019). Conversion of aspireAssist system® to sleeve gastrectomy: Technical video description. Obesity Surgery, 29(8), 2715-2717. https://dx.doi.org/10.1007/s11695-019-03993-3
dc.identifier.doi10.1007/s11695-019-03993-3
dc.identifier.endpage2717
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.issue8
dc.identifier.scopusqualityQ1
dc.identifier.startpage2715
dc.identifier.urihttps://hdl.handle.net/20.500.12511/902
dc.identifier.urihttps://dx.doi.org/10.1007/s11695-019-03993-3
dc.identifier.volume29
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofObesity Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAspire Assist System®
dc.subjectSleeve Gastrectomy
dc.subjectLaparoscopic Revisional Surgery
dc.subjectConversion
dc.subjectWeight Regain
dc.subjectFailure
dc.titleConversion of aspireAssist system® to sleeve gastrectomy: Technical video description
dc.typeArticle

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