Conversion of AspireAssist System® to Sleeve Gastrectomy: Technical Video Description

Ramon Vilallonga, Refik Bademci, Renato Roriz-Silva, Sergi Sanchez-Cordero, Yuhamy Curbelo, Ariel Almanza

Research output: Contribution to journalArticleResearch

1 Citation (Scopus)

Abstract

© 2019, Springer Science+Business Media, LLC, part of Springer Nature. 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.
Original languageEnglish
Pages (from-to)2715-2717
JournalObesity Surgery
Volume29
DOIs
Publication statusPublished - 15 Aug 2019

Keywords

  • AspireAssist System®
  • Conversion
  • Failure
  • Laparoscopic revisional surgery
  • Sleeve gastrectomy
  • Weight regain

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    Vilallonga, R., Bademci, R., Roriz-Silva, R., Sanchez-Cordero, S., Curbelo, Y., & Almanza, A. (2019). Conversion of AspireAssist System® to Sleeve Gastrectomy: Technical Video Description. Obesity Surgery, 29, 2715-2717. https://doi.org/10.1007/s11695-019-03993-3