ENDOSCOPIC SLEEVE GASTROPLASTY LEADING TO GASTRIC ISCHEMIA AND PERFORATION: SURGICAL MANAGEMENT

Objectives: 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. A single case will be described of a post-procedure day zero complication after ESG resulting in ischemia, perforation, and peritonitis; what was discovered intra-operatively; and the operative management.

Methods:

Results:

Conclusion: