Endoscopic Sleeve Gastroplasty Leading to Gastric Ischemia and Perforation

Author:

Stolz Michael P.1,Gibson Brian H.2,Vassy William M.2

Affiliation:

1. General Surgery Residency, Northeast Georgia Health System, Gainesville, GA, USA

2. Department of Surgery, Northeast Georgia Health System, Gainesville, GA, USA

Abstract

Endoscopic sleeve gastroplasty (ESG) is performed by using endoscopic suctioning to reduce the volume of the stomach by plicating the greater curvature with an endoscopic suturing device or stapler. This allows for the endoscopist to perform an elective outpatient weight loss procedure. We will describe a single case of post-procedure day zero complication involving ESG resulting in ischemia, perforation, and peritonitis; what was discovered intra-operatively; and our operative management.

Publisher

SAGE Publications

Subject

General Medicine

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