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Endoscopic sleeve gastroplasty requiring emergent partial gastrectomy.
Edward P Whitfield1, Steven G Leeds1,2,3, Kacie R Kerlee1
1College of Medicine, Texas A&M Health Science Center, Dallas, Texas.
Proceedings (Baylor University. Medical Center)
|October 26, 2020
Summary
Endoscopic sleeve gastroplasty is a safe weight loss procedure. A rare complication, however, required emergent surgery, highlighting the need for vigilance in bariatric interventions.
Area of Science:
- Gastroenterology and Bariatric Surgery
- Minimally Invasive Procedures
Background:
- Bariatric surgery effectively treats morbid obesity.
- Laparoscopic sleeve gastrectomy is the most common procedure, yielding significant weight loss.
- Endoscopic sleeve gastroplasty (ESG) offers a less invasive alternative using endoscopic suturing.
Observation:
- ESG involves plicating the stomach's greater curvature into a sleeve-like shape.
- This endoscopic approach has demonstrated safety and good weight loss results.
- A rare but serious complication necessitating emergent surgical intervention occurred.
Findings:
- The case highlights a dangerous complication associated with ESG.
- Prompt surgical intervention was required to manage the adverse event.
- This underscores potential risks despite the procedure's general safety profile.
Implications:
- While ESG is generally safe, awareness of rare complications is crucial.
- Vigilance and preparedness for emergent surgical management are necessary.
- Further research may focus on identifying risk factors and prevention strategies for ESG complications.
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