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Laparoscopic Clip Gastroplasty with the BariClip
Patrick Noel1,2,3, Imane Eddbali4, Marius Nedelcu5
1Mediclinic Parkview Hospital, Dubai, United Arab Emirates. casanoel@gmail.com.
Obesity Surgery
|September 30, 2020
Summary
The BariClip procedure offers a reversible bariatric surgery option that mimics sleeve gastrectomy (SG) effects without leaks or GERD. This minimally invasive technique resulted in significant weight loss and improved patient quality of life.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Procedures
- Gastrointestinal Surgery
Background:
- The BariClip procedure is a reversible alternative to sleeve gastrectomy (SG).
- It aims to reduce intragastric pressure, minimizing GERD risk.
- The technique avoids gastric cutting, reducing leak complications.
Purpose of the Study:
- To present the main steps of the BariClip procedure through an edited video.
- To demonstrate its application in a patient with a BMI of 41 kg/sqm.
- To highlight the procedure's efficacy and safety in weight management.
Main Methods:
- Laparoscopic approach using a 36F bougie for pouch calibration.
- Placement of the BariClip through a 12mm trocar.
- Suturing the clip to the gastric wall to prevent slippage, with preference for left indentations to avoid vessels.
Main Results:
- Successful placement of the BariClip with a 3% slippage rate after learning curve.
- Patient tolerated liquids 4 hours post-surgery and was discharged the next day.
- Achieved 10% total body weight loss at 1 month and 31% at 1 year.
- No reported reflux, pain, or other complications; high patient satisfaction and improved quality of life.
Conclusions:
- BariClip provides similar weight loss to SG without gastrectomy, leaks, or GERD.
- The low-pressure system and wide outlet minimize erosion and GERD risks.
- The procedure is reversible and offers good quality of life outcomes comparable to other bariatric surgeries.
