Realignment of a Surgical Gastric Sleeve Using the Apollo Endoscopic Suturing Platform in a Patient With Postoperative Persistent Nausea and Vomiting

Alsadiq Al Hillan, Mujtaba Mohamed, Kadhim Al-Banaa, Diana Curras-Martin, Steven Gorcey, Mohammad Hossain


Laparoscopic sleeve gastrectomy is a restrictive procedure without the malabsorptive component of gastric bypass or duodenal switch. Reported common complications include bleeding, stenosis, misalignment, staple line leaks, and severe regurgitate symptoms. This case represents an uncommon complication characterized by gastroesophageal junction outflow obstruction due to redundant tissue from post-surgical change in the fundus. Repair with complete resolution of symptoms was achieved by performing endoscopy gastroplasty with the Apollo overstitch suturing system.

J Curr Surg. 2019;9(2-3):29-31


Post sleeve gastrectomy; Laparoscopy; Endoscopic suturing/gastroplasty

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