Society for Surgery of the Alimentary Tract

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NOVEL DEVICE SYSTEM FOR TRANSORAL OUTLET REDUCTION
Arjun Chatterjee1, Leandro Sierra1, Renan Prado1, Michael Cymbal1, Stephen Firkins1, Akash Khurana1, Roma Patel1, Bailey Flora1, Erika Staneff1, Rehan Haidry2, Roberto Simons-Linares*1
1Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic London Ltd, London, England, United Kingdom

This study reports the first U.S. outcomes of the Bariatric Anastomotic Reduction System (BARSŪ) for transoral outlet reduction (TORe) in patients with weight regain (WR) following Roux-en-Y gastric bypass (RYGB). Among three patients, the procedure achieved an average 86% reduction in gastrojejunal anastomosis diameter, mean total body weight loss (TBWL) of 10.5% at one month, and notable BMI improvements, all without major complications. BARSŪ demonstrated feasibility, safety, efficiency, and a rapid learning curve, highlighting its promise as a minimally invasive, effective alternative for TORe in managing WR post-RYGB.
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