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Reversal of primary obesity surgery endolumenal following postoperative complications: A case report

INTRODUCTION AND IMPORTANCE: Although bariatric surgeries are an increasingly popular option to achieve significant weight loss in patients who fail to do so via conservative measures, these procedures are invasive and carry a risk of complications, many of which are serious and potentially fatal. I...

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Autores principales: Terro, Khalil, Baroudi, Mohanad, Abunimer, Ahmed, Rab, Saleha Abdul, Shafqat, Areez, Sabbah, Belal Nedal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433662/
https://www.ncbi.nlm.nih.gov/pubmed/36037639
http://dx.doi.org/10.1016/j.ijscr.2022.107483
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author Terro, Khalil
Baroudi, Mohanad
Abunimer, Ahmed
Rab, Saleha Abdul
Shafqat, Areez
Sabbah, Belal Nedal
author_facet Terro, Khalil
Baroudi, Mohanad
Abunimer, Ahmed
Rab, Saleha Abdul
Shafqat, Areez
Sabbah, Belal Nedal
author_sort Terro, Khalil
collection PubMed
description INTRODUCTION AND IMPORTANCE: Although bariatric surgeries are an increasingly popular option to achieve significant weight loss in patients who fail to do so via conservative measures, these procedures are invasive and carry a risk of complications, many of which are serious and potentially fatal. In this context, endoscopic bariatric therapies (EBT) such as primary obesity surgery endolumenal (POSE) have been proposed as a new minimally invasive weight loss procedure to reduce the risk of postoperative complications. However, these procedures are in their early stages, with only a few cases reported in literature. We report our experience in managing a complicated case of POSE gastroplasty. CASE PRESENTATION: We report a case of a 45-year-old woman presenting with severe epigastric pain and vomiting. She was suffering from postoperative complications following a transoral gastroplasty procedure. The patient was managed surgically to correct the offending complication, which consequently resulted in reversal of POSE. CLINICAL DISCUSSION: Conventional bariatric surgical procedures are generally performed using an open and/or laparoscopic approach. Although highly effective, this approach is associated with significant complications. EBTs are gaining traction as novel treatment modalities for obesity. A major reason for adopting this approach is the fact that endoluminal therapy represents a minimally invasive treatment option for obesity with a minimal rate of complications. CONCLUSION: Due to the fact that POSE reversal has never been reported or discussed, especially in the context of gastric perforation, it is imperative that future studies are conducted on the matter.
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spelling pubmed-94336622022-09-02 Reversal of primary obesity surgery endolumenal following postoperative complications: A case report Terro, Khalil Baroudi, Mohanad Abunimer, Ahmed Rab, Saleha Abdul Shafqat, Areez Sabbah, Belal Nedal Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Although bariatric surgeries are an increasingly popular option to achieve significant weight loss in patients who fail to do so via conservative measures, these procedures are invasive and carry a risk of complications, many of which are serious and potentially fatal. In this context, endoscopic bariatric therapies (EBT) such as primary obesity surgery endolumenal (POSE) have been proposed as a new minimally invasive weight loss procedure to reduce the risk of postoperative complications. However, these procedures are in their early stages, with only a few cases reported in literature. We report our experience in managing a complicated case of POSE gastroplasty. CASE PRESENTATION: We report a case of a 45-year-old woman presenting with severe epigastric pain and vomiting. She was suffering from postoperative complications following a transoral gastroplasty procedure. The patient was managed surgically to correct the offending complication, which consequently resulted in reversal of POSE. CLINICAL DISCUSSION: Conventional bariatric surgical procedures are generally performed using an open and/or laparoscopic approach. Although highly effective, this approach is associated with significant complications. EBTs are gaining traction as novel treatment modalities for obesity. A major reason for adopting this approach is the fact that endoluminal therapy represents a minimally invasive treatment option for obesity with a minimal rate of complications. CONCLUSION: Due to the fact that POSE reversal has never been reported or discussed, especially in the context of gastric perforation, it is imperative that future studies are conducted on the matter. Elsevier 2022-08-11 /pmc/articles/PMC9433662/ /pubmed/36037639 http://dx.doi.org/10.1016/j.ijscr.2022.107483 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Terro, Khalil
Baroudi, Mohanad
Abunimer, Ahmed
Rab, Saleha Abdul
Shafqat, Areez
Sabbah, Belal Nedal
Reversal of primary obesity surgery endolumenal following postoperative complications: A case report
title Reversal of primary obesity surgery endolumenal following postoperative complications: A case report
title_full Reversal of primary obesity surgery endolumenal following postoperative complications: A case report
title_fullStr Reversal of primary obesity surgery endolumenal following postoperative complications: A case report
title_full_unstemmed Reversal of primary obesity surgery endolumenal following postoperative complications: A case report
title_short Reversal of primary obesity surgery endolumenal following postoperative complications: A case report
title_sort reversal of primary obesity surgery endolumenal following postoperative complications: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433662/
https://www.ncbi.nlm.nih.gov/pubmed/36037639
http://dx.doi.org/10.1016/j.ijscr.2022.107483
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