Case Report
Volume: 7 | Issue: 7 | Published: Dec 03, 2023 | Pages: 140 - 142 | DOI: 10.24911/ejmcr/173-1685109381
Gastric perforation after endoscopic sleeve gastroplasty: a case report of a rare but dangerous complication.
Authors:
Jaro Van Zande
, Klaas Van Den Heede
, Yves Van Molhem
, Sam Van Slycke
Article Info
Authors
Jaro Van Zande
Onze-Lieve-Vrouw (OLV) Hospital Aalst-Asse-Ninove, Department of General and Endocrine Surgery, Moorselbaan 164, B-9300 Aalst, Belgium
Klaas Van Den Heede
Onze-Lieve-Vrouw (OLV) Hospital Aalst-Asse-Ninove, Department of General and Endocrine Surgery, Moorselbaan 164, B-9300 Aalst, Belgium
Yves Van Molhem
Onze-Lieve-Vrouw (OLV) Hospital Aalst-Asse-Ninove, Department of General and Endocrine Surgery, Moorselbaan 164, B-9300 Aalst, Belgium
Sam Van Slycke
Onze-Lieve-Vrouw (OLV) Hospital Aalst-Asse-Ninove, Department of General and Endocrine Surgery, Moorselbaan 164, B-9300 Aalst, Belgium.
Publication History
Received: May 26, 2023
Accepted:
Published: December 03, 2023
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 four 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.
Keywords: gastroplasty – morbidity – endoscopy, gastrointestinal – bariatric surgery – case report, green
