Boehringer Laboratories, LLC. • 300 Thoms Dr., • Phoenixville, PA 194601-800-642-4945 •www.visigi.com

L188 (0000.188 Rev-) Released Sept ‘14

OG Tube/Bougievs.

Suction Calibration SystemDuring Laparoscopic Sleeve

Gastrectomy

Rose Huang, MSBMEMichel Gagner, MD, FRCSC, FACS, FASMBS

Hospital Du Sacre Coeur, Montreal, QC, Canada

August 26-30, 2014Montreal, Canada

Clinical Education Presented By:

September 10, 2014

Presented at:

19th World Congress of theInternational Federation forthe Surgery of Obesity andmetabolic disorders(IFSO2014).

5th International ConsensusSummit for Sleeve Gastrectomy(ICSSG).

August 26-30, 2014Montreal, Canada

Results on Time Saving

AVG TIME TO FULLY DECOMPRESS STOMACH

(SEC)

AVG TIME FOR TUBE PLACEMENT (SEC)*

AVG TIME TO FIRE EACH STAPLE LOAD

AVG TIME TO LEAK TEST (SEC)*

0 20 40 60 80 100 120 140 160

ViSiGi Bougie

ViSiGi

Bougie

OR Time Spent

Avg. Time to Staple (sec) Straightness Variance Frequency of Movement*Avg. Total Case Time

Straightness Variance and # Movements

ViSiGiBougie ViSiGiBougie

Bougie ViSiGi 3D™

LOCATION 1

5 cm

5 cm

LOCATION 2

LOCATION 3

Anterior Posterior

Expert consensus recommends a bougie should be in place when a sleeve gastrectomy is fashioned. However, this requires three gastric

for sleeve sizing and OG tube for leak test. (Fig.

stapling, and corkscrewing of the staple line.

aim of this study was to compare the current

step OG Tube/Bougie system.Fig. 1B The distal end of ViSiGi

Fig. 1D Integral regulator decompresses the stomach safely

Fig. 2 Diagram to demonstrate the measuring of staple line straightness.

Fig. 5A An example of a corkscrewing staple line done with a bougie.

Fig. 5B An example of a straight staple line done with ViSiGi 3D™.

Fig. 5C The circumference of the specimen was measured with a

decreased by 20% when using ViSiGi 3D™.Fig. 7 Specimen formed using ViSiGi provided a straighter staple line. Less device movement in the esophagus

Results

were enrolled for a sleeve gastrectomy. The

men. The mean age was 36.8 years, ranging

averaged 45.3 kg/m². Conclusion

whereas ViSiGi 3D™ clearly delineated and indicated proper staple placement.

to complete each step of a sleeve gastrectomy, and therefore total

placement, which equalizes tension on both sides of the stomach, thereby reducing corkscrewing.

damage and accidental tube stapling.

Materials/Methods Unlike the regular bougie, anesthesiologist inserts ViSiGi 3D™ at the beginning of the case

Primary sleeve gastrectomies were performed with a bougie or a ViSiGi 3D™ in a randomized,

captured in each case. (Fig. 3)

Three measurements were made at three

specimen: circumference, and distance from the greater curvature to both the anterior and

each specimen. (Fig. 5)

The frequency of device movements for both groups were recorded. This record includes the number of intraluminal devices inserted as well

obtained. (Fig. 4, Fig. 6)

Acknowledgement and References•

on experience of >12,000 cases”. Surgery for Obesity and Related Diseases 8:1, 8–19 •

• survey.” Surgery for Obesity and Related Diseases. 8:5 (2011) 595-600

• Pictures in Fig. 5 are courtesy of St. Luke’s Hospital - Allentown Campus• This study was supported by Boehringer Laboratories, Inc.

8 48.6 119.5 26.5

21 101 137.6 119.4

Comparison 1:

Comparison 2:

Comparison 3:

:4 nosirapmoC

Comparison 3: Staple Line Straightness

StraightStapleLine

“Cork-screwing”

StapleLine

Laparoscopic Sleeve Gastrectomy Rose Huang, MSBME Michel Gagner, MD, FRCSC, FACS, FASMBS

Hospital Du Sacre Coeur, Montreal, QC, Canada

26.5119.4

119.5137.6

48.6101

821

Avg Time to Fully Decompress Stomach (sec)

Avg Time for Tube Placement (sec)*

Avg Time to Fire Each Staple Load

Avg Time to Leak Test (sec)*

655.6614.2

875.3

1.64

8.13

3.58

0.92

697.2