Gastroplasty with endoscopic myotomy as a revision procedure after weight regain after remote endoscopic sleeve gastroplasty.

ABSTRACT:

Background and aims

Suture dehiscence and gastric sleeve dilation can cause post-endoscopic sleeve gastroplasty (ESG) weight regain. To our knowledge, gastroplasty with endoscopic myotomy (GEM) as a post-ESG revision technique has not been previously reported. We present a case of GEM successfully used after a primary ESG as a revision procedure.

Methods

A 52-year-old man had a weight of 111 kg in 2016 before ESG. Postprocedure, his weight reached 95 kg. However, he returned in 2023 with weight regain to 121 kg. GEM was decided after multidisciplinary discussion. Previous suture sites were appreciated. An antral myotomy was started with a bleb injected 8 cm proximal to the pylorus. The submucosal tunnel was entered by hybrid knife incision and dissected 2 cm before the pylor

SUBMITTER: Sampath K 

PROVIDER: S-EPMC12282414 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature