Gastric perforation following endoscopic sleeve gastroplasty: caution regarding the use of argon plasma coagulation

Wright, Melissa; Giddings, Hugh; Simond, Denbigh; Fenton‐Lee, Douglas

doi:10.1111/ans.17385

Cited by 3 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…noted caution regarding the use of argon plasma coagulation (APC) for marking of the suture line on the anterior and posterior stomach walls as two perforations because of APC were noticed 48 h after ESG on endoscopy. The perforations were located posteriorly on the suture line along the greater curvature [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Atypical fundal perforation: a case report

Davoudi,

De Decker,

Willemsen

2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Gastric perforations typically occur in the distal stomach, along the greater curvature or the antrum. The vast majority of upper gastrointestinal (GI) perforations are caused by peptic ulcer disease. We present a case of an atypical location of gastric perforation. A 31-year-old patient was experiencing nausea and severe abdominal pain. Explorative laparoscopy revealed a large fundal perforation. The patient underwent an abdominoplasty 5 days before with revisional surgery for hemorrhage. He had recently lost 42 kg after endoscopic sleeve gastroplasty (ESG) 8 months before. ESG is a minimally invasive alternative for bariatric surgery. Since its implementation, several studies have been published indicating the procedure as safe. However, some major adverse events, such as upper GI-bleeding, peri-gastric leak, and pneumoperitoneum, have been described. The atypical location of the perforation might be explained by a combination of events such as surgical stress, revisional surgery, major weight loss, and the history of ESG.

show abstract

Section: Discussionmentioning

confidence: 99%