ArticleJournal of surgical case reports2026
Endoscopic gastric plication complications: early hemorrhagic event and late suture dehiscence. A two-case series.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Endoscopic gastric plication (EGP), also known as endoscopic sleeve gastroplasty, is a minimally invasive bariatric procedure that reduces gastric volume through full thickness endoluminal suturing. It has demonstrated aiding weight loss and improvement in obesity-related comorbidities. It is considered safe, with low rates of severe adverse events, but early and long-term complications remain insufficiently characterized. We report two cases of EGP-related complications. The first case involves a 31-year-old woman who presented 2 years after the procedure with persistent dyspepsia and recurrent gain due to suture dehiscence, requiring conversion to Roux-en-Y gastric bypass with removal of gastric remanent. The second case describes a 24-year-old woman who developed an early postoperative hemorrhagic complication secondary to gastroepiploic vessel injury, requiring urgent surgical intervention. These cases illustrate potential EGP severe complications, ranging from early acute life-threatening events to late structural failure, emphasizing the importance of high suspicion, timely diagnosis and individualized management strategies.
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