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A Vertically Placed Clip for Weight Loss: a 39-Month Pilot Study

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Abstract

Background

Morbid obesity remains one of society’s significant medical dilemmas. It is rapidly worsening and expected to affect 35% of the US population by the year 2020. Common current bariatric procedures exist and include, but not limited to, the adjustable gastric band, gastric bypass, and the sleeve gastrectomy. Although beneficial to morbidly obese patients, they also alter the patient’s anatomy and involve resections, or require maintenance. The goal of the trial is to show a new minimally invasive vertical gastric clip technique that produces significant weight loss but requires no resection, no change in anatomy, and is reversible.

Methods

From November 2012 to February 2016, prospective collected data from 117 patients was included in the gastric clip trial. The clip consists of a silicone-covered titanium backbone with an inferior hinged opening that separates a medial lumen from an excluded lateral gastric pouch. The inferior opening allows the gastric juices to empty from the fundus and the body of the stomach into the distal antrum.

Results

Weight loss and comorbidities were evaluated among 117 patients over a 39-month period. 66.7% excess weight loss was seen with minimal adverse events. Average length of surgery was 69 min. Average length of stay was 1.3 days. Fifteen of the originally implanted clips were electively removed based on the original protocol, and the other two were removed for displacement of the device.

Conclusion

The vertical, gastric clip trial has shown that excellent weight loss can be achieved without some of the complications seen with historical bariatric procedures. This clip is placed without requiring stapling, resection, malabsorption, change in anatomy, or maintenance. It is also easily reversible.

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References

  1. Ruhm C. Current and future prevalence of obesity and severe obesity in the United States. Forum for Health Economics & Policy. 2007;10(2):1558–9544.

    Article  Google Scholar 

  2. Aurora AR, Khaitan L, Saber A. Meta-analysis of leak after laparoscopic sleeve gastrectomy for morbid obesity. SAGES 2011.

  3. Aurora AR et al. Sleeve gastrectomy and the risk of leak: a systemic analysis of 4,888 patients. Surg Endosc. 2012;26(6):1509–15.

    Article  PubMed  Google Scholar 

  4. Rosenthal RJ. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8:8–19.

    Article  PubMed  Google Scholar 

  5. Johnston D. The Magenstrasse and Mill operation for morbid obesity. Obesity Surg. 2003;13(1):10–6.

    Article  Google Scholar 

  6. A De Roover, et al. Laparoscopic Magenstrasse and Mill gastroplasty. First results of a prospective study. Obes Surg 2015; 25:234–241.

  7. Lap Band Test Stand P09042. Detailed Design Review. October 31, 2008.

  8. Gonzalez R, Bran E, Montufar F. Gastric band erosion: diagnostic and treatment alternatives. SAGES 2013.

Download references

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Authors and Affiliations

  1. Jackson South Community Hospital, Miami, FL, USA

    Moises Jacobs, Natan Zundel, Gustavo Plasencia, Prospero Rodriguez-Pumarol, Eddie Gomez & James Leithead III

Authors
  1. Moises Jacobs
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  2. Natan Zundel
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  3. Gustavo Plasencia
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  4. Prospero Rodriguez-Pumarol
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  5. Eddie Gomez
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  6. James Leithead III
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Corresponding author

Correspondence to Moises Jacobs.

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Conflict of Interest

Moises Jacobs: consultant for Ethicon Endo-Surgery and has equity in Advanced Bariatrics, L.L.C., the manufacturer of the gastric clip.

Natan Zundel: consultant for Ethicon Endo-Surgery, Medtronic, Olympus Surgical Technologies, and Apollo Endosurgery

Gustavo Plasencia: consultant for Ethicon Endo-Surgery and Intuitive Surgical, and has equity in Advanced Bariatrics.

Prospero Rodriguez-Pumarol declares no conflict of interest.

Eddie Gomez: consultant for Ethicon Endo-Surgery, Medtronic, and Apollo Endosurgery

James Leithead III declares no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

All applicable institutional and/or national guidelines for the care and use of animals were followed.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Jacobs, M., Zundel, N., Plasencia, G. et al. A Vertically Placed Clip for Weight Loss: a 39-Month Pilot Study. OBES SURG 27, 1174–1181 (2017). https://doi.org/10.1007/s11695-016-2432-5

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  • DOI: https://doi.org/10.1007/s11695-016-2432-5

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