Unusual complications after bariatric surgery − gastric plication
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Keywords

bariatric surgery − laparoscopic gastric plication – complications – bezoar − diverticulum

Abstract

Laparoscopic gastric plication (LGCP) is a relatively new bariatric-metabolic operation. The greater gastric curvature is invaginated into the gastric lumen, resulting in a shape similar to that obtained after sleeve gastrectomy.
In our paper, we report two interesting cases of patients with gastric plication who presented specific findings – food bezoar and gastric diverticulum.
Case reports of bezoars after bariatric surgery are reported most commonly after gastric banding and gastric bypass surgery. Diverticulum of the gastric wall is a complication specific to LGCP when a part of the invaginated gastric wall is slipped between two sutures. A prompt endoscopic intervention is recommended to relieve the obstruction and, in case of diverticulum, to diagnose and manage it surgically.

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