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- Title
Gastric perforation after endoscopic sleeve gastroplasty: a case report of a rare but dangerous complication.
- Authors
Van Zande, Jaro; Van Den Heede, Klaas; Van Molhem, Yves; Van Slycke, Sam
- Abstract
Background: Alternative and less invasive methods for laparoscopic sleeve gastrectomy include endoscopic sleeve gastroplasty (ESG), where the stomach is transformed into a narrow tube by using an endoscopic suturing device. Despite satisfying weight loss results, severe adverse events, including gastric perforation, have occurred. Case Presentation: This case report describes a 38-year-old woman with acute abdominal pain 4 days after ESG. An emergency laparoscopic exploration revealed a stomach perforation fixed to the anterior abdominal wall by a suture anchor of the gastroplasty. Conclusion: A full-thickness perforation harming neighboring organs and structures is a possible complication after ESG. Therefore, this procedure should only be performed if morbidity can be monitored during the procedure to avoid situations where dangerous complications remain unrecognized for too long.
- Subjects
SLEEVE gastrectomy; ABDOMINAL pain; ENDOSCOPIC surgery; BARIATRIC surgery; GASTROINTESTINAL diseases
- Publication
European Journal of Medical Case Reports, 2023, Vol 7, Issue 7, p140
- ISSN
2520-4998
- Publication type
Case Study
- DOI
10.24911/ejmcr/173-1685109381