PMID- 34580831
OWN - NLM
STAT- MEDLINE
DCOM- 20220309
LR  - 20220309
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 31
IP  - 12
DP  - 2021 Dec
TI  - Revisional Single Anastomosis Sleeve Ileal (SASI) Bypass for Failed Gastric 
      Clipping and Proximal Jejunal Bypass (GC-PJB) (Video Report).
PG  - 5510-5513
LID - 10.1007/s11695-021-05733-y [doi]
AB  - BACKGROUND: Bariatric surgery, the most effective strategy to manage morbid 
      obesity, has increased rapidly in the face of expanding obese population in the 
      twenty-first century. Hence, it is reasonable to expect a rise in the need for 
      revisional bariatric surgery (RBS), especially due to weight recidivism. METHOD: 
      In this video report, the patient was a 28-year-old Asian female with an initial 
      BMI of 42.6 kg/m(2) and underwent primary bariatric surgery of laparoscopic 
      gastric clipping with proximal jejunal bypass (GC-PJB) in January 2018. She had 
      the nadir BMI of 35.2 kg/m(2) in August 2019. However, she regained weight and 
      her BMI rebounded to 43.7 kg/m(2) at the time of consultation for RBS in 2021. 
      After a multidisciplinary team evaluation, laparoscopic procedures of removal of 
      gastric clip and single anastomosis sleeve ileal (SASI) bypass with preservation 
      of previous jejunojejunal anastomosis were performed. RESULTS: The operative time 
      was 216 min and blood loss was 25 ml. There were no intraoperative or 
      postoperative complications. The patient had an uneventful postoperative course 
      and was discharged 4 days after surgery. At the 3-month follow-up after RBS, the 
      patient had lost 25 kg (weight dropped from 119 to 94 kg), and the corresponding 
      BMI was 34.5 kg/m(2). CONCLUSION: Laparoscopic removal of gastric clip and SASI 
      bypass with preservation of previous jejunojejunal anastomosis is technically 
      feasible and promising as a revisional procedure for failed GC-PJB.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Pan, Hsin-Mei
AU  - Pan HM
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
AD  - Department of General Medicine, Tri-Service General Hospital, National Defense 
      Medical Center, Taipei, Taiwan.
FAU - Lin, Chien-Hua
AU  - Lin CH
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
AD  - IRCAD Taiwan, Department of Surgery, Chang-Bing Show Chwan Memorial Hospital, 
      Taipei, Taiwan.
FAU - Hsu, Fang-Chin
AU  - Hsu FC
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Hung, Wan-Ting
AU  - Hung WT
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
AD  - Division of General Surgery, Department of Surgery, Taichung Armed Forces General 
      Hospital, Taichung, Taiwan.
FAU - Liao, Guo-Shiou
AU  - Liao GS
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Chan, De-Chuan
AU  - Chan DC
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Chen, Teng-Wei
AU  - Chen TW
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Hsu, Kuo-Feng
AU  - Hsu KF
AUID- ORCID: 0000-0001-9556-9221
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan. hsukf97@ndmctsgh.edu.tw.
LA  - eng
PT  - Journal Article
PT  - Video-Audio Media
DEP - 20210927
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Adult
MH  - Female
MH  - Gastrectomy
MH  - *Gastric Bypass/methods
MH  - Humans
MH  - *Laparoscopy
MH  - *Obesity, Morbid/surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Gastric clipping
OT  - Proximal jejunal bypass
OT  - Revision
OT  - Single anastomosis sleeve ileal bypass
EDAT- 2021/09/29 06:00
MHDA- 2022/03/11 06:00
CRDT- 2021/09/28 06:49
PHST- 2021/07/24 00:00 [received]
PHST- 2021/09/22 00:00 [accepted]
PHST- 2021/09/08 00:00 [revised]
PHST- 2021/09/29 06:00 [pubmed]
PHST- 2022/03/11 06:00 [medline]
PHST- 2021/09/28 06:49 [entrez]
AID - 10.1007/s11695-021-05733-y [pii]
AID - 10.1007/s11695-021-05733-y [doi]
PST - ppublish
SO  - Obes Surg. 2021 Dec;31(12):5510-5513. doi: 10.1007/s11695-021-05733-y. Epub 2021 
      Sep 27.