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INTRODUCTION: Laparoscopic BariClip gastroplasty (LBCG) will address a similar tubular restriction than the one achieved with the laparoscopic sleeve gastrectomy (LSG) at the level of the gastric fundus, while maintaining the advantage of simplicity and anatomic preservation. The purpose of the current study was to analyze the risk of slippage and to present the evolving technique by adding gastro-gastric plication of the gastric wall covering the BariClip at those areas where the gastric wall "slips" between the limbs of the clip. METHODS: All patients undergoing LBCG with the evolving technique of gastric plication around the device associated with antral gastroplasty from January 2021 to May 2022 were included in the study group (group A). A control group (group B) was designed with patients who underwent previous LBCG technique between May 2017 and June 2019. This is a case-controlled group with patients matched by gender and BMI. We have analyzed the postoperative complications and more notably the slippage. RESULTS: One hundred seventy-six patients (44 male and 132 female) with a mean age of 33 years (± 11) underwent evolving technique of LBCG. A control group of 67 patients who underwent previous technique of LBCG was included. All procedures were completed by laparoscopy with no intraoperative complication. For the study group, we have recorded a number of 5 slippages (2.8%). The diagnosis occurred during the first 6 months after the operation. The management consisted of repositioning-3 cases-and BariClip removal-2 cases. For the control group, we have recorded a number of 3 slippages (4.3%). All three patients underwent BariClip removal, with no repositioning. CONCLUSIONS: We reported a new technique of placement of the BariClip with additional gastric plication anterior, posterior, and volume reduction in the antrum to potentially reduce the rate of slippage and improve weight loss outcomes.

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INTRODUÇÃO: A cirurgia bariátrica tem efeito na redução de peso. O exercício físico apresenta relação positiva sobre os aspectos fisiológicos para indivíduos pós-bariátricos. No entanto, o efeito do treinamento de força e sua aplicação no pós-operatório permanecem obscuros. OBJETIVO: O presente estudo objetivou realizar uma revisão sistemática dos efeitos do treinamento de força sobre os aspectos fisiológicos em indivíduos pós-bariátricos. MÉTODOS: Uma pesquisa foi conduzida em bases de dados, seguindo em conformidade com os critérios do PRISMA. Os estudos incluídos foram avaliados utilizando a escala PEDro. A pontuação do Kappa de Cohen avaliou o nível de concordância. RESULTADOS: Sete estudos foram incluídos na revisão. Os períodos de duração das intervenções e indivíduos avaliados foram homogêneos. Os estudos demonstraram melhoras significativas para as variáveis de aptidão física. No entanto, foram identificadas descrições inconsistentes na sessão de treinamento, dificultando a orientação prática adequada. CONCLUSÃO: Os estudos reportaram efeitos positivos sobre as variáveis analisadas

INTRODUCCIÓN: La cirugía bariátrica tiene efecto en la reducción de peso. El ejercicio físico presenta relación positiva sobre los aspectos fisiológicos para individuos posbariátricos. Sin embargo, el efecto del entrenamiento de fuerza y su aplicación en el posoperatorio permanecen obscuros. OBJETIVO: Realizar una revisión sistemática de los efectos del entrenamiento de fuerza sobre aspectos fisiológicos en sujetos posbariátricos. MÉTODOS: Una búsqueda bibliográfica se realizó en bases de datos, siguiendo los criterios del PRISMA. Los estudios incluidos fueron evaluados utilizándose la escala PEDro. La puntuación del Kappa de Cohen evaluó el nivel de acuerdo. RESULTADOS: Siete estudios fueron incluidos en la revisión. Los periodos de duración de las intervenciones e individuos evaluados fueron homogéneos. Los estudios demostraron mejoras significativas a las variables de aptitud física. Pero, fueron identificadas descripciones inconsistentes en la sesión de entrenamiento, obstaculizando la orientación de la práctica adecuada. CONCLUSIÓN: Los estudios reportaron efectos positivos sobre las variables analizadas

INTRODUCTION: Bariatric surgery has an effect on reducing body weight. Physical exercise has a positive relation on the physiological aspects for post-bariatric individuals. However, the effect of strength training and its application in the postoperative period remain obscure. OBJECTIVE: The present study aimed to perform a systematic review of the effects of strength training on the physiological aspects in post-bariatric subjects. METHODS: A survey was conducted in databases, following the PRISMA criteria. The included studies were evaluated using the PEDro scale. Cohen's kappa score assessed the level of agreement. RESULTS: Seven studies were included in the review. The duration of the interventions and individuals evaluated were homogeneous. Studies have shown significant improvements for physical fitness variables. However, inconsistent descriptions were identified in the training session, hindering proper practice guidance. CONCLUSION: The studies reported positive effects on the analyzed variables

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