Scholarlink

<p>Bariatric surgery has become a cornerstone in the management of morbid obesity, offering significant weight loss and improvement in obesity-related comorbidities. Among the available techniques, endoscopic gastric plication and laparoscopic gastric plication have emerged as less invasive alternatives to traditional bariatric procedures. This report presents a case of a 38-year-old female who underwent laparoscopic gastric plication, followed by a malabsorptive revision surgery due to insufficient weight loss and subsequent weight regain. The patient developed late-stage complications, including melena, and non-healing gastric ulcers, necessitating a subtotal gastrectomy and Roux-en-Y reconstruction. A review of the literature highlights the limitations of gastric plication, including higher complication rates, less durable weight loss, and an increased need for revision surgery compared to other bariatric procedures. These findings emphasize the importance of patient education regarding the experimental nature of gastric plication, adherence to routine endoscopic surveillance, and the careful selection of revision strategies. This case contributes to the growing body of evidence on the potential risks and long-term outcomes of gastric plication, underscoring the necessity of meticulous postoperative monitoring and individualized complication management. Furthermore, these findings indicate the need for further research to refine patient selection criteria and assess long-term outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Management of Refractory Gastric Ulcer and Hemorrhage After Gastric Plication: A Case Report of a Rare Complication

  • 期刊论文

  • 发表日期：

    2025年7月1日

查看全文
  • Javid Ahmadov,
  • Mustafa Anıl Turhan,
  • Erhan Reis

摘要

Bariatric surgery has become a cornerstone in the management of morbid obesity, offering significant weight loss and improvement in obesity-related comorbidities. Among the available techniques, endoscopic gastric plication and laparoscopic gastric plication have emerged as less invasive alternatives to traditional bariatric procedures. This report presents a case of a 38-year-old female who underwent laparoscopic gastric plication, followed by a malabsorptive revision surgery due to insufficient weight loss and subsequent weight regain. The patient developed late-stage complications, including melena, and non-healing gastric ulcers, necessitating a subtotal gastrectomy and Roux-en-Y reconstruction. A review of the literature highlights the limitations of gastric plication, including higher complication rates, less durable weight loss, and an increased need for revision surgery compared to other bariatric procedures. These findings emphasize the importance of patient education regarding the experimental nature of gastric plication, adherence to routine endoscopic surveillance, and the careful selection of revision strategies. This case contributes to the growing body of evidence on the potential risks and long-term outcomes of gastric plication, underscoring the necessity of meticulous postoperative monitoring and individualized complication management. Furthermore, these findings indicate the need for further research to refine patient selection criteria and assess long-term outcomes.