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Complications of Gastric Plication 

Complications of Gastric Plication
Chapter:
Complications of Gastric Plication
Author(s):

Zhamak Khorgami

, and Ariel Ortiz Lagardere

DOI:
10.1093/med/9780190608347.003.0037
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date: 17 June 2021

Laparoscopic gastric plication is infolding of the greater curvature of the stomach to reduce gastric volume. This chapter covers the complications of the procedure, their causes, and their management. The most common complication is gastric obstruction, and it is the main reason for reoperation. Most mild obstructions can be managed conservatively. Patients with signs of ischemia and those with poor response to medical treatment need reoperation. Mild bleeding is not infrequent after gastric plication but severe bleeding is rare. Gastric perforation can occur, and treatment options include conservative management of a minimal contained leak, or surgical exploration with plication reversal and repair. Loss of restriction and weight regain are a result of insufficient reduction of the stomach capacity or plication breakdown. Other complications include persistent heartburn, gastric wall herniation (which can lead to ischemia and perforation), gastric intussusception, and gastric ulcers.

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